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2025 McT SUMMER CAMPS ~ Co-Ed Soccer ~ Session One

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2025 McGill-Toolen Catholic High School

SUMMER CAMPS ~ Co-Ed Soccer - Session One with Coach Cheryl Flores

June 9-12 / 9am-11am

Rising K - 8th grade (for the 2025-2026 school year)

$75 registration fee

McGill-Toolen Catholic Athletic Complex (The Lip) off of Michael Blvd

Please make check payable to Cheryl Flores

Participants need to bring soccer ball, water, sunscreen, cleats and shin guards. Also bring money for a snack at concession stand.

Please complete the form below. Required fields marked with an asterisk *

Participant Information

First Name (Participant Name)*

Answer required for "First Name (Participant Name)"

Middle Name (Participant Name)*

Answer required for "Middle Name (Participant Name)"

Last Name (Participant Name)*

Answer required for "Last Name (Participant Name)"

What school do you attend? *

Answer required for "What school do you attend? "

Grade for the 2024-2025 school year*

Answer required for "Grade for the 2024-2025 school year"

Date of Birth*

Answer required for "Date of Birth"

Home Address*

Answer required for "Home Address"

City*

Answer required for "City"

Zip/Postal*

Answer required for "Zip/Postal"

I hereby give my consent for my child to participate in all camp program activities and release McGill-Toolen Catholic High School, its' coaching staff, its' officers, directors, agents, and employees from any and all liability for personal injury arising from my child's participation in the program. If at any time it is necessary for the player to receive outside medical attention, I hereby give my consent to the program to secure the services and arrange transportation if deemed necessary. I am also aware I will be responsible for any and all medical expenses resulting from sickness or injury during the program. *

Answer required for "I hereby give my consent for my child to participate in all camp program activities and release McGill-Toolen Catholic High School, its' coaching staff, its' officers, directors, agents, and employees from any and all liability for personal injury arising from my child's participation in the program. If at any time it is necessary for the player to receive outside medical attention, I hereby give my consent to the program to secure the services and arrange transportation if deemed necessary. I am also aware I will be responsible for any and all medical expenses resulting from sickness or injury during the program. "

Yes (please check)

Parent/Guardian Name (Electronic Signature for consent) *

Answer required for "Parent/Guardian Name (Electronic Signature for consent) "

Special Custodial Information (if needed)

Answer required for "Special Custodial Information (if needed)"

Email *

Answer required for "Email "

Mobile Phone*

Number Required

Home Phone*

Number Required

Emergency Contact Name*

Answer required for "Emergency Contact Name"

Emergency Contact Phone Number*

Number Required

Medical Information

Physician Name*

Answer required for "Physician Name"

Physician Phone Number*

Number Required

Health Insurance Company and Policy Number*

Answer required for "Health Insurance Company and Policy Number"

Preferred Hospital*

Answer required for "Preferred Hospital"

Permission to get treatment if parent is unreachable*

Answer required for "Permission to get treatment if parent is unreachable"

YES

Allergies? *

Answer required for "Allergies? "

YES

If yes, what allergies and medicine?

Answer required for "If yes, what allergies and medicine?"

Other medical conditions? *

Answer required for "Other medical conditions? "

YES

If yes, what conditions and what medicine?

Answer required for "If yes, what conditions and what medicine?"

Confirmation Email

Answer required for "Confirmation Email"