Register / Cost / Dates

  • Camp Dates: Sunday-Thursday, June 17-21, 2012... camp ends at noon on Thursday
  • Ages: 12 thru Seniors in High School
    • Boys & Girls (programs are separate)
  • Cost:
    • $475 for players registering before March 31, 2012
    • $505 for players registering after March 31, 2012
       
  • Location:
    • University of Wisconsin at River Falls
      • 10 minutes south of Hudson, WI
      • 30-45 minutes east of the Twin Cities
         
  • To Register:
    • Complete the electronic registration form below, then...
    • Make a check payable to GT Soccer
      in the amount of $250 or for the full amount (sorry no credit cards)

      Mail payment to:
      P.O. Box 755, Stillwater MN 55082
       
    • Camp confirmation info will be mailed shortly thereafter.
       
  • Refund Policy:
    • For ALL cancellations prior to June 1st, all but $40 will be refunded.
    • NO REFUNDS AFTER JUNE 1st.
Player Information                                                                                                          * = required
First Name: * Middle: Last: * 
Date of Birth:  * ,
Gender:  *           Boy     Girl
Position(s):  * Forward     Midfield    Defender    Goal Keeper
Player Email:     (optional)
 
Request Room Mate (optional)
(1 Roommate Only):
Jersey Size: *     
I would like a high quality soccer ball for an additional $40.00:  *  Yes     No
Parent/Guardian Information                                                                                         * = required
First Name:  *
Last Name:  *
Primary Email Address:  *
Re-enter Email:for input verification
Secondary Email: (optional)
Primary Phone:  *  

Secondary Phone: (optional)

  
Mailing Address:
       Street:  *
       City:  *   State:   Zip:   *  
Emergency Contact Information
First & Last Name:  *
Primary Phone:  *

Relationship to Player:   *
    
Health Insurance * (carrier name)
Policy Number  *
Family Doctor (optional)    Phone:
Known Allergies
Last Tetanus Shot  *
Any other health information
we need to know:
Parent/Guardian Waiver  *
I, the parent/guardian of the registrant, a minor, do hereby authorize the athletic trainer or coaches at THE EDGE to secure any and all medical treatment in the event that I cannot be contacted. I further authorize any attending physician to render any and all medical care which he may deem necessary. It is understood that, in any event, an attempt will be made to contact the parent before treatment is initiated. I also understand that neither the schools, the directors, nor anyone connected with the soccer camp will assume any responsibility for accidents, medical, dental or other expenses incurred as the result of accidents sustained during, or as a result of, any course of instruction given the applicant by the camp staff.

I Agree         I Do Not Agree

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