Ziemer.com | Online Registration Form

Santa Rosa Kinder Kickz Outdoor Summer Camps
Sonoma County Alliance • Z Soccer • Kinder Kickz Summer Soccer Camps

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Camper/Parent Information

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(all UPPER case)

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Price: Resident $95.00, Non-Resident $105.00
T-shirt is an additional $10 per camper

Residents Only

Please select a camp to attend
Resident Camp Only	Resident With Optional T-Shirt and Camp
July 26-July 29, Sonoma Academy, Camp 7, ($95.00)	Camp 7 and optional t-shirt ($105.00)
August 2 - August 5, Galvin Park, Camp 8, ($95.00)	Camp 8 and optional t-shirt ($105.00)

Non-Residents

Please select a camp to attend
Non-Resident Camp Only	Non-Resident With Optional T-Shirt and Camp
July 26-July 29, Sonoma Academy, Camp 7, ($105.00)	Camp 7, and optional t-shirt ($115.00)
August 2 - August 5, Galvin Park, Camp 8, ($105.00)	Camp 8, and optional t-shirt ($115.00)

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


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