For online registration please choose appropriate form (scroll down page to see which registration forms are available) depending on the camp preferred. Online registration is for those who prefer to pay using debit or credit cards, if you would prefer to pay by check please download the appropriate registration application on the 2010 application page and send in along with check

 to address listed.

Online registration issues have been resolved. If you encounter any problems during the online registration process please contact us immediately and let us know so we can resolve the issue as soon as possible.

 INFO@DELAWARESOCCERCAMPS.COM OR 302-533-5441

Please choose which camp you would like to register for by either clicking on the appropriate soccer ball graphic for either DAY CAMP or REP/TEAM Camp. You will then be taken to an online registration page. For our Residential Camp please complete the form on this page and submit.

Delaware Soccer DAY Camps Online Application





Delaware Soccer REP/TEAM Camps Online Application

Delaware Soccer RESIDENTIAL Camps Online Application

	DELAWARE SOCCER CAMPS 2010 Residential Camp Registration and Medical Form Camper First Name: * Camper Last Name: * Address: * City: * State * AL AK AR AZ CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code: * Age * Date of Birth (mm/dd/yyyy) * Graduation Year * Home Phone * E-mail: * How did you hear of us? Internet Friend Coach Advertisement Repeat Camper Other Club Team Name Position Team Contact/Phone - If coming with a group Roommate Request Comments/Special Requests T-Shirt Sizes (Youth) * Adult S Adult M Adult L Adult XL Team Recruitment and Residential Camp is open to boys only in grades 9 through 12 and will run from Sunday 7/18/10 11:00am through Wednesday, 7/21/10 at 1:00pm. Overnight campers will check-n on Sunday and check-out on Wednesday. Extended Day Campers will join the group at 9am and stay with the group until after dinner before leaving the group at 8:30pm in the evening. Please choose the appropriate camp: CHECK HERE IF PAYING WITH CREDIT/DEBIT CARD or PAY PAL DSC Overnight Camp ($495) DSC Extended Day Camp ($395) Overnight Camp with Sibling Discount ($485) Extended Day Camp with Sibling Discount ($385) Overnight Camp with Team Discount ($480) Extended Day Camp with Team Discount ($380) Total : $0 ** Discounts cannot be combined ***CHECK BELOW IF SUBMITTING A CHECK BY MAIL ONLY!*** Please choose desired: DSC Overnight Camp ($495) DSC Extended Day Camp($395) Discounts/Additional Services Offered: Choose if applicable $10 Sibling Discount (off each child) $15 Team Discount (8 or more players) ** Discounts cannot be combined Online registration requires full payment at time of registration. Any cancellations will incur a $200 application fee. If paying by check a $200 non-refundable deposit is due at the time of registration. Full payments are due by June 15, 2010. Registrations after June 15, 2010 will require full payment. COMMENTS or Special Requests: Medical and Contact Information Required Mother's First Name Mother's Last Name Mother's Day Phone Mother's Cell Phone Father's First Name Father's Last Name Father's Day Phone Father's Cell Phone IF PARENTS/GUARDIANS CANNOT BE REACHED, PLEASE CALL THE FOLLOWING: Emergency Contact #1 Name/Phone Number Emergency Contact #2 Name/Phone Number Family Physician Name * Family Physician Number * IN THE BOX BELOW, PLEASE EXPLAIN ANDY SERIOUS MEDICAL CONDITIONS AND LIST THE NAMES OF ANY MEDICATIONS THE CAMPER IS PRESENTLY TAKING AND FOR WHAT MEDICAL CONDITIONS .... Allergic to Penicillin Aspirin Latex No Known Allergies Other Allergy Medical Insurance Company Policy Number Are you insured by any other health benefit plan such as an HMO. Please specify The above Camper has been examined within the last 12 months and no medical reason has been found that he/she can not participate in this camp. Records show that all immunizations are up to date.n<br>I agree that In case of an accident involving my child while attending camp and with full awareness that soccer is an activity that may involve risk or injury, I release Delaware Soccer Camps and the University of Delaware from any and all liability. In case of an emergency, I give permission to have my child properly transported to a medical facility for care. I understand that Delaware Soccer Camps and the University of Delaware do not provide medical insurance and that I will be responsible for all medical expenses incurred. Delaware Soccer Camps has established the following procedure for injury or sickness: (1) the camp will call home. (2) call the father’s, mother’s or guardian’s place of employment, (3) call the emergency numbers and physician, (4) call an ambulance if necessary for transportation to medical facility, (5) attending physician will make judgment of admittance, (6) Delaware Soccer Camps will continue to call parents , guardian or physician until one is reached. If I cannot be reached and the camp has followed the above procedures, I assume all expense for the transportation and medical treatment. I also hereby consent to any treatment, surgery, diagnostic procedure, or the administration of anesthesia which may be carried out based on the medical judgment of an attending physician. n<br> Medical Waiver * I Agree to the terms detailed above