AXE Soccer Camp 2025 - Camper Registration

Indicate preferred pronouns (optional)

they/them

she/her

he/him

CAMPER First Name*

CAMPER Last Name*

GRADE camper will enter fall 2025*

Camper Tee Shirt Size*

My child may be discharged from camp at the end of the day without a guardian. *

Yes

No

List any additional persons authorized to pick up camper from camp (first and last name)*

IF THEY ATTENDED LAST YEAR, what was your child's most favorite thing at camp?

IF THEY ATTENDED LAST YEAR, what was your child's least favorite thing at camp?

There may be special interest sessions offered during camp. Please indicate any your child is interested in (optional)

Goalkeeping

Refereeing intro and information

Girls only

Is there a camper friend(s) you prefer to be grouped with at camp?

Parent/Guardian 1 First Name*

Parent/Guardian 1 Last Name*

Parent/Guardian 1 Email*

Parent/Guardian 1 Phone*

Parent/Guardian 1 Address*

Parent/Guardian 2 Name

Parent/Guardian 2 Phone

Parent/Guardian 2 Email

Emergency contact name if parent/guardian unavailable*

Emergency contact phone number*

Does camper have allergies?*

Yes

No

Is camper bringing EPI pen to camp?*

Yes

No

List any camper physical health conditions

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