Rio RedStorm

RedStorm Soccer Camp

RedStorm Soccer Camp

This is your registration form for the RedStorm Youth and High School Team Camps

I plan to attend the following: Youth Camp June 3-6, 6-8pm ($90) West Virginia High/Middle School Team Camp June 16-20 ($295) Girls High School Team Camp July 7-10 ($260) Boys High School Team Camp July 14-18 ($295)
Name First Last
Home Phone - (###) - ### ####
Email
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
School
Name of Coach First Last
Age
Grade
Roommate
Shirt Size
Parent Name First Last
Parent Phone - (###) - ### ####
Other Contact in case of Emergency
Contact Phone - (###) - ### ####
Medical Information Are you allergic to any medications? - Select if YES Are you currently taking any medications? - Select if YES Do you have asthma? - Select if YES Do you have any medical conditions? Select if YES
If you answered YES to any of the above questions, please explain:

Haley Gwin

Softball

Magnet Street

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