For online registration please complete the appropiate 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 appropiate registration application on the 2009 application page and send in along with check

 to address listed.


Delaware Soccer DAY Camps Online Application (CAA)

	DELAWARE SOCCER CAMPS 2010 Day 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) * Grade Fall (2010) * Sex * Male Female Club Team Name Home Phone * E-mail: * How did you hear of us? Internet Friend Coach Advertisement Repeat Camper Other T-Shirt Sizes (Youth) * YS YM YL YXL We will be offering 3 weeks of Day Camps this summer! Weeks 1 and 2 of DSC Day Camps at University of Delaware from 9am - 3pm for boys and girls 6-12 years of age. These camps includes 1 hour of time in the UDEL outdoor pool. The CAA Soccer Day camp will be held at the CAA Soccer Rex Plex in Newark from 9am-1pm for boys and girls 6-12 years old. This camp does not include pool time or have after hour care available. CHECK HERE IF PAYING WITH CREDIT/DEBIT CARD or PAY PAL DSC Wk 1 - June 14-18 ($195) DSC Wk 2 - June 21-25 ($195) DSC Wk3 - June 28 - July 2 ($195) CAA Camp - July 26-30 ($150) WK 1 w/ Multi/Sibling Discount ($185) WK 2 w/ Multi/Sibling Discount ($185) WK 3 w/ Multi/Sibling Discount ($185) CAA w/ Multi/Sibling Discount ($140) WK 1 w/ Team Discount ($180) WK 2 w/ Team Discount ($180) WK 3 w/ Team Discount ($180) CAA w/ Team Discount ($135) After Hours (DSC Wk1/Wk2 ONLY) ($75) Total : $0 ** Discounts cannot be combined ***CHECK BELOW IF SUBMITTING A CHECK BY MAIL ONLY!*** Please choose week(s) desired: DSC Wk1 June 14-18 ($195) DSC Wk2 June 21-25 ($195) DSC Wk3 June 28 - July 2 ($195) CAA Camp July 26-30 ($150) Discounts/Additional Services Offered: Choose if applicable $10 Multi-Week Discount (Off 2nd Week) $10 Sibling Discount (off each child) $15 Team Discount (8 or more players) $75 After Hour Care (3pm-5pm DSC Wk1, Wk2 & Wk3 ONLY) ** Discounts cannot be combined Online registration requires full payment at time of registration. Any cancellations will incur a $75 application fee. If paying by check at $75 non-refundable deposit is due at the time of registration. Full payments are due by May 31, 2010. Registrations after May 31, 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. Medical Waiver * I Agree to the terms detailed above

	DELAWARE SOCCER CAMPS 2010 TEAM Camp Registration and Medical Form Play First Name: * Player Last Name: * Address: * City: * State * Abkhazia Afghanistan Aland Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Argentina Armenia Aruba United Kingdom Ascension Island Australia Austria Azerbaijan The Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile People's Republic of China Republic of China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Polynesia Gabon The Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Guyana Haiti Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Nagorno-Karabakh Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Turkish Republic of Northern Cyprus Northern Mariana Norway Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Transnistria Pridnestrovie Puerto Rico Qatar Romania Russia Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia Somaliland South Africa South Ossetia Spain Sri Lanka Sudan Suriname Svalbard Swaziland Sweden Switzerland Syria Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tristan da Cunha Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam British Virgin Islands US Virgin Islands Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Zip Code: * Home Phone * E-mail: * Age * Date of Birth (mmddyyyy) * Grade Fall (2010) * Sex * Option 1 Option 2 Option 3 School Name * Club Team Name Team Contact/Coach Name: * Position How did you hear of us? Internet Friend Coach Advertisement Repeat Camper Other Comments or Special Requests TEAM CAMPS OFFERED: We will be offering 2 weeks of team camps this year. REP/TRAVEL TEAM camp will be for boys and girls from 9-14 years and it will be held at the University of Delaware Sports Complex. This camp will be offered at 2 separate times 9am-12pm or 5pm-8pm each day. Please note the time you prefer below. We will also offer the HIGH SCHOOL BOYS PRE-SEASON TEAM CAMP which will be offered to high school age boys only and will be held at the Kirkwood Soccer Complex. This camp is designed for teams of 8 players or more. The group will train in 2 hour increments each day with Coach Hennessy. The available times for this camp are 8:45am-10:45am, 11am-1pm, 1:45pm-3:45pm, 4pm-6pm and 6:15pm-8:15pm. Please note the time the team has agreed upon below. REP/TEAM CAMP TIMES 9:00am-12:00pm 5:00pm-8:00pm HIGH SCHOOL BOYS CAMP TIMES 8:45am-10:45am 11:00am-1:00pm 1:45pm-3:45pm 4:00pm-6:00pm 6:15pm-8:15pm CHECK HERE IF PAYING WITH CREDIT/DEBIT CARD or PAY PAL REP/TRAVEL TEAM 8/2-6/2010 ($125) REP/TRAVEL TEAM Multi Week/Sibling Discount ($115) BOYS HS CAMP 8/1-0-14/2010 ($125) BOYS HS CAMP Multi Week/Sibling Discount ($115) Total : $0 ***CHECK BELOW IF SUBMITTING A CHECK BY MAIL ONLY!*** TEAM CAMPS - Check desired camp REP/TRAVEL CAMP: 8/2-6/2010 BOYS HS CAMP: 8/10-14/2010 Discounts Offered: Choose if applicable $10 Multi-Week (off 2nd week) $10 Sibling Discount (off each child) ** Discounts cannot be combined Online registration requires full payment at time of registration. Any cancellations will incur a $75 application fee. If paying by check a $75 non-refundable deposit is due at the time of registration. Full payments are due by July 1, 2010. Registrations after July 1, 2010 will require full payment. 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 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.   Medical Waiver * I Agree to the terms detailed above

Delaware Soccer RESIDENTIAL Camp 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