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Athletics
Registration Form For South Jeff Soccer Camp  

2010 South Jefferson  Boys & Girls  Summer Soccer Camp
Registration Application

Fill out Form (type in info) and click on the print button below
Name:    
Street Address:
City State:   zip code:
Phone Number:   
Emergency Number:
Emergency Contact:
must be handwritten (do not type):
 

_____________________________________________________________

Parent /Guardian Signature

School:  
Grade:      Age
   
Send Application and money to:
Terry Burgess
615 Holcomb Street
Apartment 13
Watertown, NY 13601

Make checks payable to:
South Jeff Varsity Club

The first 60 to register by August 1st, 2010 will get a Soccer ball

Camp cost is $50.00









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