Transcript Contact: Coach Scott Ware

Wharton High School
Soccer Camps
Kick The Summer Off With Your
Friends!
2008 State Champions
2011 Boys’ & Girls’ District
Champions
Register Now
$100
For Application Visit:
www.WhartonSoccer.us
Hosted by Coaches Scott Ware & Denis Vukorep
Email: [email protected]
Phone: (734)320-4715
----------------------------------------------------------------------------------------------1-Open
2-Open
All Sessions 8am – 12
___ June 16 – 19
___ June 23 – 26
Registration Form
Please mail to:
Wharton Wildcats Soccer Camp
10118 Arbor Run Drive
Tampa, FL 33647
$100 Cash, Check, or Money Order Accepted.
Make Checks Payable to: Wharton Soccer
(No refunds for cancellations, injuries, or withdrawals if less than one week prior to camp.)
_________________________________________
____________________________________________
Player Name
Parent/Guardian Name
_______________________________________________________________________________________________
Street Address
City
State
Zip
_(______)______-________________
___/_____/_____
_________________
Home Phone
Birth Date
’13-’14 Grade Level
_(______)______-________________
_________________________________
______________
Cell Phone
Email
T-Shirt Size
Parent/Guardian Consent Form
The undersigned parent or guardian understands that the applicant will be engaging in physical activity during the program which
contains a risk of physical injury. The undersigned assumes the risk, and releases Wharton Wildcats Soccer Camp, their directors,
and employees from any and all liability for personal injury arising out of applicant’s participation. I further agree to pay through my
insurance company or otherwise for any medical treatment that might by necessary for injury that may occur due to participation in
this camp.
________________________________________________________________
Parent/Guardian Signature
Date