2019 Ray Reid Soccer School

Camp Selection

Player Name

Parent/Guardian Name

Parent/Guardian Address

Parent/Guardian Home Phone

Parent/Guardian Cell Phone

Parent/Guardian Work Phone

Club/School Team

Club/School Coach

Club/School Coach Phone

Player Date of Birth

Grade Entering Next Fall

Player Gender

Insurance Company

Insurance Policy Number

Insurance Policy Group Number

Player Allergies

Known Allergies

Special Medical Concerns

How Did You Hear About Us?

Did your player attend a session of the Ray Reid Soccer School in 2018?

Parent/Guardian Email Address

Confirm Parent/Guardian Email Address

I Have Read & Accept the Ray Reid Soccer School Cancellation Policy*

2019 Ray Reid Soccer School Cancellation Policy

Promo Code

Total

$0.00

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