Registration/Payment

PLEASE READ INSTRUCTIONS BELOW:

Please fill out the registration form below, then click Submit. It will then bring you to a new page with your child’s registration. Scroll down to the bottom of that page to submit your payment. If you do not have PayPal or Venmo, please email me at lauraraysoccercamp@gmail.com for alternate payment method. Thank you!

Player Name(required)

Email Address(required)

Cell Phone and/or Home Phone(required)

Parent/Guardian Name(required)

Address(required)

City and State(required)

Player's Age(required)

Medical Conditions(required)

Insurance Carrier(required)

Subscriber to Insurance Name(required)

Insurance Policy Number(required)

Insurance Group Number (required)

Waiver: In case of any emergency, every attempt will be made to contact the above named person using any and all numbers provided above. The above named parent/ guardian by agreeing, authorizes the camp staff to provide or arrange emergency medical care if necessary. Any expense arising from injury or illness is solely the responsibility of the camper and the above named parent/guardian.(required)

Laura Ray Soccer Camp

Payment via Paypal is $245 (to cover processing fees). Discount payment via check/cash is $230. There is also a sibling discount. Please reach out to lauraraysoccercamp@gmail.com to inquire about the discount payment/sibling discount. Thank you!

$245.00

*If you would like to pay via Venmo: $245 (includes processing fees) – (lauraraysoccercamp)*

Like this: