Texas Lutheran University

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STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

TLU Soccer Day Camp 2024

Monday, June 3rd - Thursday June 6th
Gustafson Soccer Field on Texas Lutheran University's campus

Eddie Salazar - Men's Soccer Coach - esalazar@tlu.edu

George Kee - Men's Soccer Coach - gkee@tlu.edu

The TLU Men’s soccer programs are excited to offer a summer day camp for children ages 8-14 at Gustafson Field here on our TLU campus. Our day camp will provide a great opportunity for youth players to gain exposure to technical and decision-making skills, physical components, and mental attributes associated with the beautiful game. The environment is centered around the learning and enjoyment of the child while keeping everyone safe. The camp is open to field players and goalkeepers. Campers will receive individualized instruction from coaching staff and current players.

When:

June 3-6

9am-12pm

Who:

Ages 8-14 boys and girls

Camp Fee:

$120

Registrations

Qty

Description

Amount

Total

Participant(s)

$120.00

Discount Code

---

Total: $120.00

Participant Information

PRINTABLE WAIVER: Please CLICK HERE to print your Waiver and bring with you.

First Name: *

Last Name: *

Date of Birth:

T-Shirt Size:

Parent/Guardian: *

EMERGENCY CONTACT INFORMATION

Insurance: Parents/Guardians are responsible for providing proof of insurance.

Emergency Contact Name: *

Emergency Contact Phone: *

Emergency Email:

Physician’s Name: *

Policy ID Number: *

Payer Information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone:

E-mail: *

A receipt will be e-mailed to this address.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *

Name on Account: *

Routing Number: *

Account Number: *