OTB Soccer

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

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 any injuries or illness incurred while at any of On The Ball Soccer Camps. Select from the drop down if you accept.