Ziemer.com | Online Registration Form

City of Windsor World Cup Soccer Camp

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Camper/Parent Information

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Session Select Session (s)

June 7- June 10, Wilson Ranch Soccer Park, Camp 1w
July 12 - July 15, Wilson Ranch Soccer Park, Camp 2w
July 19 - July 22, Wilson Ranch Soccer Park, Camp 3w
August 2 - Wilson Ranch Soccer Park, Camp 5w

Price: Resident $95, Non-Resident $135
T-shirt is an additional $10 per camper
Multiple Camp Discounts
2 weeks - Resident $115, Non-Resident $125
3 weeks - Resident $105, Non-Resident $115
4 weeks or more - Resident $95, Non-Resident $105
T-shirt is an additional $10 per camper

Residents Only Please Select As Many That Apply

Number of session (s) selected
Resident Camp Only	Resident With Optional T-Shirt and Camp
1 session, Resident ($95.00)	with optional t-shirt and camp ($105.00)
2 sessions, Resident ($85x2=$170)	with optional t-shirt and camp ($180.00)
3 sessions, Resident ($75x3=$225)	with optional t-shirt and camp ($235.00)
4 sessions, Resident ($65x4=$260)	with optional t-shirt and camp ($270.00)
5 sessions, Resident ($65x5=$325)	with optional t-shirt and camp ($335.00)

Non-Residents Only Please Select One

Number of session (s) selected
Non-Resident Camp Only	Non-Resident With Optional T-Shirt and Camp
1 session, Non Resident ($135.00)	with optional t-shirt ($145.00)
2 session, Non Resident ($120x2=$240)	with optional t-shirt ($250.00)
3 session, Non Resident ($110x3.$330)	with optional t-shirt ($335.00)
4 session, Non Resident ($100x4=$400)	with optional t-shirt ($410.00)
5 session, Non Resident ($100X5=$500)	with optional t-shirt ($510.00)

Yes, I would like an optional t-shirt:

If Optional T-shirts was selected please select size:

Camper Name:

Street

City:

State:

Zip

Parent Name:

Phone: (Daytime):

Phone (Evening):

Emergency Phone:

Date of Birth:

Gender:

Email Address:

Payment Information:

Comments:

Credit Card Payment - Due to security purposes, we will call you for your credit card information.

Check Payment - Please Mail Check to:
SCA - Winter Camps
P.O. Box 905
Petaluma, CA 94953
Make checks payable to SCA

Check Number:


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