Camp Team Registration Form

Fill out this form as well as register each player on the Winning Mood Home Page.

Team Sex: ______ 2003 Fall Age Group: _______ Club Affiliation _______________

Coach Last Name: ______________________ First Name: ______________________

Street: __________________________________________________________

City: ______________________________ State: _________ ZIP: __________

Phone Number: ___________________

Half Day $1100 - ($200 deposit) _____   Afternoons Only

Week of June 16

Hosting a coach will reduce team registration by $160.

I'm interested in hosting a coach: YES _____ NO _____

Coach Signature: __________________________ Date: ____/_____/____

Make checks payable to: Villa Hills Soccer Camp

P. O. Box 17101
Covington KY 41017-0101

Amount Paid: ________ Check #: _________

Team Registration Form - Team Name _____________ Coach: _________________

* After April 15 - $1200 half day,

Camp Participants Receive a Winning Mood T-Shirt

For questions write to Webmaster at VHSC

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