Application

2008 Joe Clarke Soccer Camps
One Brookings Drive, Campus box 1067

St Louis, MO  63130

PERSONAL INFORMATION
Name Male Female
Address
City State Zip
Birthdate Age at camp Grade next fall
E-mail
Father Mother
Telephone (Home) (Home)
  (Work) (Work)
  (Cell) (Cell)
Roommate or friend preference for day camp   1)
2) 3)
Former Camper? Yes No If yes, what year

June Day Camps

(for male and female age 6-14) (challenge program for experienced soccer players)
Session One   Jn 2 - 6 chaminade Parkway Central Washington Univ.
Session Two   Jn 9 - 13 chaminade Parkway Central Washington Univ.
Please pick mini or full day.  Those 9 or older indicate if you are signing for the challenge program.
Mini: 9 AM to Noon - $125 Full: 9 AM to 4 PM - $235
Registrant is age 9 or more and is registering for the CHALLENGE PROGRAM.
                                           
JULY CAMPS AT WASHINGTON UNIVERSITY IN ST. LOUIS
Washington University Showcase Residential Camp: High School Boys (as of Fall 08)
Residential Showcase Camp July 12 - 16 resident $490            commuter $395)

I am registering for the specialized goal keeper training at the residential camp

I am requesting an admissions interview while attending the residential camp

Specialty Camps (9 AM to Noon) (boys and girls age 9 - 18)
   
Goal Scoring July 7 - July 11 $120
Goal Keeping at Goal Scoring July 7 - July 11 $120
Dribbling Thurs. July 17 - Sat. July 19 $80
Youth Skills and Games (9 AM to 12:15 PM Daily) (boys and girls age 6 - 8)
Session One July 7 - July 11 $120
Session two July 14 - July 18 $120
   
OTHER DETAILS
Please indicate your soccer ball choice
I will purchase the camp soccer ball - $20
I will bring my own ball (marked with my name and phone number on it)

Special Note: Team (i.e. ten or more from the same team submitting their applications and deposits together by June 1) or Family (more than one from the same family registering for any of the 2008 camps) Such registrants will receive a FREE CAMP SOCCER BALL.
 I am participating in the camp with my team or other family members

Questions call 314-935-5174 or 314 - 8215425

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Link to Medical Form and Release

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