| Note: You must first print this page in order to fill out and return application. To fill-out and return application click on the print button at the bottom of this page or go to File, then select Print. All completed applications must be received by mail. |
| ___ 7/7-7/11 Paramus Catholic High School | ___ 8/4-8/8 Eastbrook School, Paramus |
| ___ 7/14-7/18 Eastbrook School, Paramus | ___ 8/11-8/15 Eastbrook School, Paramus |
| ___ 7/21-7/25 River Dell H.S., Oradell | ___ 8/18-8/22 Dorchester School, Woodcliff Lakes |
| ___ 7/28-8/1 River Dell H.S., Oradell |
| Parents/Guardian's Name _________________________ | Phone (_____) ______________________ |
| Child's Name ________________________________ | |
| Date of Birth _____________ | List team membership of camper, if any _____________ |
| ___Male/Female | ___ Check for Goalkeeper Training |
| Street ____________________________________ | |
| City ___________________________ | State _______ Zip _________ |
| If parent/guardian are not available in emergency contact: | |
| Name ________________________ | Phone ( ____ ) _____ - ___________ |
| Note: Registration requires a $100 Non-Refundable deposit for each session. |
| Make all checks payable to: World Class Soccer Camp |
| Mail to: World Class Soccer Camp, P.O. Box 175, HoHoKus, NJ 07423 |
| Parent/Legal Guardian and applicant have read Camp policies as stated in "General Information" section. The applicant is in good health and has permission to participate in Camp activities except as noted in Medical Form. (Note: Camp will send you a Medical Form after receiving this application) |
| Parent or Legal Guardian_________________________ Date _______________ World Class Soccer Camp - P.O. Box 175 -, HoHoKus, NJ 07423 - (201)261-3771 fax (201) 265-3402 |