Carthage College Soccer Day Camps

Application Form

Personal Information

Gender Male Female

First Name

Last Name

Address

City, State ZIP

Past Years Attended 0 1 2 3 4 5

6 7 8 9 10

E-Mail Address

Date of Birth Age

GoalKeeper? Yes No

T-shirt size (adult sizes only) S M L XL

Parent/Guardian Information

Parent/Guardian Name

Home Phone

Work Phone

Housing Information

Roommate Request

Reside in dorm near(teammates/friends)

Session Information

SESSION I - enrollment is limited!
Girls Resident	June 22 - June 26	$395.00
Girls Commuter	June 22 - June 26	$295.00
Boys and Girls Jr. Kickers	June 23 - June 26	$100.00
SESSION II - enrollment is limited!
Boys Resident	July 6 - July 10	$395.00
Boys Commuter	July 6 - July 10	$295.00
Boys and Girls Day	July 7 - July 10	$195.00
Boys and Girls. Jr. Kickers	July 7 - July 10	$100.00

Resident campers please check here if you would like to purchase an official camp soccer ball for $25.00. Payment for ball and deposit must accompany application.
Yes No

Note: A $200.00 deposit is required with each reservation ($50 deposit for the Day Camp and Junior Kickers programs). THE DEPOSIT IS NON-REFUNDABLE. The deposit is applied to camp fee. There is a late fee, call for details. Sorry, we do not accept credit cards.

HOW TO REGISTER: Complete this form and submit it by clicking on the button below. Please print a copy of this page for your records.

Make all checks payable to: Carthage College, and mail to:

Carthage College
Soccer Camp
2001 Alford Park Drive
Kenosha, WI 53140

Upon receipt of your application, additional information will be sent to you including check-in registration, items to bring, medical release forms, and directions.

Questions?
Call Steve Domin at (262) 551-5930

House/Registration Questions?

Call Susie Foster at (262) 551-6126