Test Mode Form

This Form is in Test Mode

This form is not ready to process live transactions.

YOUR TRANSACTION DATA WILL NOT BE SAVED.

*** If you feel you are getting this message in error, please check
with the administrator of the site that sent you to this form. ***

Please choose a date
$85.00
Cost is non-refundable.
Expected Year of High School Graduation
2019
2020
2021
2022
Soccer Position
GoalKeeper
Defender
Midfielder
Forward
I hereby voluntarily give my consent to allow my son/daughter ("player") to attend the Lake Forest College Soccer Prospect Camp. I have no knowledge of any physical impairment that would prevent my player's participation in this camp, as outlined in the brochure. As part of camp enrollment, I understand that I must have suitable insurance to cover all injuries and/or illnesses my player may sustain and I hereby authorize the Lake Forest College Soccer Prospect Camp staff to act for me to their best judgment in any emergency requiring medical attention. I hereby waive and release Lake Forest College and its trustees, employees, and agents from any and all liability (except for gross negligence) for any injuries and/or illnesses incurred while at the Lake Forest College Soccer Prospect Camp.
Payer Information
This is the address where your credit card statements are mailed.
A receipt will be e-mailed to this address.
Your Payment Information (Payments by Credit/Debit Card or e-check)

VisaMasterCardAmerican ExpressDiscoverJCB

eCheck

Powered by Acceptiva