Editing previous response:

Please fix the highlighted areas below before submitting.

2024 McT SUMMER CAMPS ~ Co-Ed Soccer ~ Session One

mct sports logo

2024 McGill-Toolen Catholic High School

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

June 10-13 / 9am-11am

Rising K - 8th grade (for the 2024-2025 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

Middle Name (Participant Name)*

Answer Required

Last Name (Participant Name)*

Answer Required

What school do you attend? *

Answer Required

Date of Birth*

Answer Required

Home Address*

Answer Required

City*

Answer Required

Zip/Postal*

Answer Required

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

Yes (please check)

Parent/Guardian Name (Electronic Signature for consent) *

Answer Required

Special Custodial Information (if needed)

Answer Required

Email *

Answer Required

Mobile Phone*

Number Required

Home Phone*

Number Required

Emergency Contact Name*

Answer Required

Emergency Contact Phone Number*

Number Required

Medical Information

Physician Name*

Answer Required

Physician Phone Number*

Number Required

Health Insurance Company and Policy Number*

Answer Required

Preferred Hospital*

Answer Required

Permission to get treatment if parent is unreachable*

Answer Required

YES

Allergies? *

Answer Required

YES

If yes, what allergies and medicine?

Answer Required

Other medical conditions? *

Answer Required

YES

If yes, what conditions and what medicine?

Answer Required

Confirmation Email

Email Required