Registration – Fort Hamilton Academy

For payment information and questions Contact Coach K

Phone: 6462819617
Email: boris.fhsocceracademy@gmail.com

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Choose from the following weeks of camp that apply:

Week 1 (June 30th – July 3rd) – $395.00
Week 2 (July 7th – July 11th) – $485.00
Week 3 (July 14th – July 18 th) – $485.00
Week 4 (July 21st – July 25th) – $485.00
Week 5 (July 28th – August 1st) – $485.00
Week 6 (August 4th – August 8th) – $485.00
Half Day Options available (9am-11:30am) – $225.00

Early drop off available at 8:30am – $50/wk
*15% discount offered for siblings attending camp together
*10% discount for 2 weeks
*15% discount for 3 weeks or more

PART 1 – Player Information

First

Last

Age (DOB)

Gender

Address

Address Line 1

Address Line 2

City

State

Zip Code

that – Phone

Phone

Previous Experience

PART 2 – Parent Information

First

Last

Name of Parent/Guardian

Checkboxes

Same address as player information

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

PART 3 – Emergency Contact – Contact 1:

First

Last

Phone

Relationship

Emergency Contact – Contact 2:

First

Last

Phone

Relationship

PART 4 – Medical Insurance Information

Name of Insured

Primary Insurance Carrier

Policy #

Part 5 – Waiver

-Acknowledgment of risk

Total

Item Quantity Qty Total

There are no products selected.

Choose from the following weeks of camp that apply: – Week 1 (June 30th – July 3rd) 1 $395.00

Choose from the following weeks of camp that apply: – Week 2 (July 7th – July 11th) 1 $485.00

Choose from the following weeks of camp that apply: – Week 3 (July 14th – July 18 th) 1 $485.00

Choose from the following weeks of camp that apply: – Week 4 (July 21st – July 25th) 1 $485.00

Choose from the following weeks of camp that apply: – Week 5 (July 28th – August 1st) 1 $485.00

Choose from the following weeks of camp that apply: – Week 6 (August 4th – August 8th) 1 $485.00

Choose from the following weeks of camp that apply: – Half Day Options available (9am-11:30am) 1 $225.00

Total $0.00