* Indicates Required Field


*Camper First Name:
*Camper Last Name:
*Parent First Name:
*Parent Last Name:
*Home Address:
*Town:
*State:
*Zip Code:
*Home Phone:
Business Phone:
Cell Phone
(in case of emergency):
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 2010

Half Day
(9:00 AM - 12:00 Noon)
$295 A Week

Grasshoppers Program
(10:00 AM - 11:00 AM)
$150 A Week

We are offering the $20 discount for registering before June 1, 2010 again this year. There is no discount for Grasshopper Program.

I would like to sign up for the following sessions:

Week
Amount
* July 5 - 9
Half Day Grasshopper Program None 		$
* August 9 - 13
Half Day Grasshopper Program None 		$
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


43 Pine Point Road, Rowayton, CT 06853 - Phone (203) 866-4830 - E-mail: dick@packersoccercamps.com