* Indicates Required Field


*First Name:
*Last Name:
*Home Address:
*Town:
*State:
*Zip Code:
*Home Phone:
Business Phone:
School:
*Email:
*Sex:
 MaleFemale
*Age At Camp:
*Are You A
Repeat Camper?:
 YesNo
Doctor Name:
Doctor Phone:

Additional Comments:




The following are fees
for Packer Soccer Camps 2008

Half Day
(9:00 AM - 12:00 Noon)
$275 A Week

I would like to sign up for the following sessions
at Rowayton Elementary School:

Week
Time
Amount
* August 4 - 8 9:00 AM to Noon $
*
August 11 - 15
 9:00 AM to Noon
$
TOTAL $

Proceeds from the Rowayton Camp will be donated to Haiti Lumiere de Demain, a non-profit organization which promotes literacy among the children of Haiti.





If you have any questions please email us at dick@packersoccercamps.com or call us at (203) 866-4830

Our Mailing Address is:
Packer Soccer Camps
43 Pine Point Road
Rowayton, CT 06853
(203) 866-4830


65 Rowayton Avenue, Ste. 4, Rowayton, CT 06853 - Phone (203) 866-4830 - E-mail: dick@packersoccercamps.com