OTB Soccer

Day Camp Payment Form
Select Camp:
Campers Full Name:
Address:
City:
State:
Zip Code:
Telephone Number:
E Mail Address:
Birth Year:
Gender:
Parent or Guardian Name:
Emergency Number:
T-Shirt Size:
Position:


Check All That Applies:	Previous Camper Same Family UF Employee Type of Camper:* Roommate: (If not known type: Unknown) Optional $100 Deposit Only Check To Apply
	I , hereby waive and release On The Ball Soccer Camps from any and all liability for injuries or illness incurred while at camp.