Do you have what it takes to be Elite?
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Player Full Name *

 
Player Gender *


 
Player Date of Birth *

 
Address

 
1st Line of Address

 
2nd Line of Address

 
City

 
State

 
Zip Code

 
Country

 
Parent Name

 
Phone Number *

 
Camp Times

Morning Session
9:00 AM - 12:00 PM players ages 7 to 10

Afternoon Session
1:00 PM - 4:00 PM player ages 11 to 15

 
Which camp do you wish to participate in? (Please select all that apply) *


 
Which one is your Age Division *


 
Name of your futsal club

 
Name of your soccer club

 
T-Shirt Size *


 
Your total is{{var_price}} *

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Your application has been successfully submitted. You will receive a confirmation email with more information about the camp.
Thank you!
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