| Camper's Name: |
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| Age: (summer '11) |
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Grade:
(fall '11) |
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| School: |
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| Club Team: |
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| Age Group: (under-??) |
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| T-shirt size: |
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| Parent(s) / Guardian(s): |
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| Address: |
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| City: |
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| State: |
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| Zip: |
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| E-mail: |
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| Home Phone: |
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| Emergency Phone: |
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| Cell Phone: |
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| Session 1 |
Session 1
23rd Anniversary Camp
2011 & 2012 Dates TBD
Ages 7-12 9am-noon $150
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| Session 2 |
Session 2
"Advanced Camp"
2011 & 2012 Dates TBD
Ages 13-18 9am-noon $150 |
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One discount per camper |
| Alumni |
$10 Alumni Discount
attended Sabo's 2010 camp |
| Galloway |
$10 Galloway School Discount
currently enrolled at the The Galloway School |
| Sibling |
$10 Sibling Discount
applicable for each additional sister |
| Special requests: ex. (group my daughter with..., etc.) |
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Submit on-line application below. See submit button.
Mail Waiver Form and full payment payable to:
Atlanta Women's Soccer, Inc.
1013 Main Street
Stone Mountain, GA 30083
$25 non-refundable deposit/session
$25 fee charged for all returned checks
A confirmation and additional information
will be sent via e-mail.
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