EmailMeForm
MLUSC Summer Camp 2024
Soccer Development Camp
Registration Status
*
Please select
#1: First Time Registering for this Summer Camp 2024
#2: I have attended a previous week of this camp
When you initially register - Choose #1.
Once you have attended your first week of camp - choose #2 (save entering the same info in this form)
PARENTS INFORMATION
Mothers Name
*
Fathers Name
Cell Phone Number #1
*
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Cell Phone Number #2
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Email #1
Email #2
How Many Children are you Registering?
*
Please select
Only One Child
Two Children
Three Children
Does your Child Currently play with Miami Lakes United SC?
*
Please select
Yes - MLUSC Rec Player
Yes - MLUSC Academy Player
Yes - MLUSC - Travel Player
No - First Time Player
No - Play for another Soccer Club
What is your Team Coach name from this past season?
What is your current Club Name?
Please list the people that will collect your child at the end of the day.
*
(Name / Phone number / Relation to your child)
PLEASE NOTE: the above listed people will need to provide ID
CHILD #1 INFORMATION
#1: Child's Full Name
*
#1: Date of Birth
*
CHILD #2 INFORMATION
#2: Child's Full Name
#2: Date of Birth
CHILD #3 INFORMATION
#3: Child's Full Name
#3: Date of Birth
Payments
What Week or Days will your First Child be Participating in?
(you can pay week by week)
1st Child: Wk1 (5 days): Mon June 10 - Fri June14
1st Child: Monday June 10
1st Child: Tuesday June 11
1st Child: Wednesday June 12
1st Child: Thursday June 13
1st Child: Friday June 14
1st Child: Wk2 (5 days): Mon June 17 - Fri June 21
1st Child: Monday June 17
1st Child: Tuesday June 18
1st Child: Wednesday June 19
1st Child: Thursday June 20
1st Child: Friday June 21
1st Child: Wk3 (5 days): Mon June 24 - Fri June 28
1st Child: Monday June 24
1st Child: Tuesday June 25
1st Child: Wednesday June 26
1st Child: Thursday June 27
1st Child: Friday June 28
1st Child: Wk4 (5 days): Mon July 1st - Fri July 5th (discounted)
1st Child: Monday July 1st
1st Child: Tuesday July 2
1st Child: Wednesday July 3
1st Child: Friday July 5
1st Child: Wk5 (5 days): Mon July 8 - Fri July 12
1st Child: Monday July 8
1st Child: Tuesday July 9
1st Child: Wednesday July 10
1st Child: Thursday July 11
1st Child: Friday July 12
1st Child: Wk6 (5 days): Mon July 15 - Fri July 19
1st Child: Monday July 15
1st Child: Tuesday July 16
1st Child: Wednesday July 17
1st Child: Thursday July 18
1st Child: Friday July 19
1st Child: Wk7 (5 days): Mon July 22 - Fri July 26
1st Child: Monday July 22
1st Child: Tuesday July 23
1st Child: Wednesday July 24
1st Child: Thursday July 25
1st Child: Friday July 26
1st Child: Wk8 (5 days): Mon July 29 - Fri Aug 2
1st Child: Monday July 29
1st Child: Tuesday July 30
1st Child: Wednesday July 31
1st Child: Thursday August 1
1st Child: Friday August 2
1st Child: Wk9 (5 days): Mon Aug 5- Fri Aug 9
1st Child: Monday Aug 5
1st Child: Tuesday Aug 6
1st Child: Wednesday Aug 7
1st Child: Thursday August 8
1st Child: Friday August 9
What Week or Days will your Both your Children be Participating in?
(you can pay week by week)
2 Children: Wk1 (5 days): Mon June 10 - Fri June14
2 Children: Monday June 10
2 Children: Tuesday June 11
2 Children: Wednesday June 12
2 Children: Thursday June 13
2 Children: Friday June 14
2 Children: Wk2 (5 days): Mon June 17 - Fri June 21
2 Children: Monday June 17
2 Children: Tuesday June 18
2 Children: Wednesday June 19
2 Children: Thursday June 20
2 Children: Friday June 21
2 Children: Wk3 (5 days): Mon June 24 - Fri June 28
2 Children: Monday June 24
2 Children: Tuesday June 25
2 Children: Wednesday June 26
2 Children: Thursday June 27
2 Children: Friday June 28
2 Children: Wk4 (5 days): Mon July 1st - Fri July 5th (discounted)
2 Children: Monday July 1st
2 Children: Tuesday July 2
2 Children: Wednesday July 3
2 Children: Friday July 5
2 Children: Wk5 (5 days): Mon July 8 - Fri July 12
2 Children: Monday July 8
2 Children: Tuesday July 9
2 Children: Wednesday July 10
2 Children: Thursday July 11
2 Children: Friday July 12
2 Children: Wk6 (5 days): Mon July 15 - Fri July 19
2 Children: Monday July 15
2 Children: Tuesday July 16
2 Children: Wednesday July 17
2 Children: Thursday July 18
2 Children: Friday July 19
2 Children: Wk7 (5 days): Mon July 22 - Fri July 26
2 Children: Monday July 22
2 Children: Tuesday July 23
2 Children: Wednesday July 24
2 Children: Thursday July 25
2 Children: Friday July 26
2 Children: Wk8 (5 days): Mon July 29 - Fri Aug 2
2 Children: Monday July 29
2 Children: Tuesday July 30
2 Children: Wednesday July 31
2 Children: Thursday August 1
2 Children: Friday August 2
2 Children: Wk9 (5 days): Mon Aug 5- Fri Aug 9
2 Children: Monday Aug 5
2 Children: Tuesday Aug 6
2 Children: Wednesday Aug 7
2 Children: Thursday August 8
2 Children: Friday August 9
What Week or Days will your Three Children be Participating in?
(you can pay week by week)
3 Children: Wk1 (5 days): Mon June 10 - Fri June14
3 Children: Monday June 10
3 Children: Tuesday June 11
3 Children: Wednesday June 12
3 Children: Thursday June 13
3 Children: Friday June 14
3 Children: Wk2 (5 days): Mon June 17 - Fri June 21
3 Children: Monday June 17
3 Children: Tuesday June 18
3 Children: Wednesday June 19
3 Children: Thursday June 20
3 Children: Friday June 21
3 Children: Wk3 (5 days): Mon June 24 - Fri June 28
3 Children: Monday June 24
3 Children: Tuesday June 25
3 Children: Wednesday June 26
3 Children: Thursday June 27
3 Children: Friday June 28
3 Children: Wk4 (5 days): Mon July 1st - Fri July 5th (discounted)
3 Children: Monday July 1st
3 Children: Tuesday July 2
3 Children: Wednesday July 3
3 Children: Friday July 5
3 Children: Wk5 (5 days): Mon July 8 - Fri July 12
3 Children: Monday July 8
3 Children: Tuesday July 9
3 Children: Wednesday July 10
3 Children: Thursday July 11
3 Children: Friday July 12
3 Children: Wk6 (5 days): Mon July 15 - Fri July 19
3 Children: Monday July 15
3 Children: Tuesday July 16
3 Children: Wednesday July 17
3 Children: Thursday July 18
3 Children: Friday July 19
3 Children: Wk7 (5 days): Mon July 22 - Fri July 26
3 Children: Monday July 22
3 Children: Tuesday July 23
3 Children: Wednesday July 24
3 Children: Thursday July 25
3 Children: Friday July 26
3 Children: Wk8 (5 days): Mon July 29 - Fri Aug 2
3 Children: Monday July 29
3 Children: Tuesday July 30
3 Children: Wednesday July 31
3 Children: Thursday August 1
3 Children: Friday August 2
3 Children: Wk9 (5 days): Mon Aug 5- Fri Aug 9
3 Children: Monday Aug 5
3 Children: Tuesday Aug 6
3 Children: Wednesday Aug 7
3 Children: Thursday August 8
3 Children: Friday August 9
Do you need Extended Time/ Care for your Child?
Please select
Yes, I need Extended Hours - $60
No - Ill arrive at 10am and leave at 3pm ($0)
Do you need Extended Time/ Care for both your Children?
Please select
Yes , I need extended hours - $120
No - Ill arrive at 10am and leave at 3pm ($0)
Do you need Extended Time/ Care for all three (3) of your Children?
Please select
Yes, I need Extended Hours - $180
No - Ill arrive at 10am and leave at 3pm ($0)
INSURANCE
Does your Child need our Insurance
*
Please select
No - I have our own Insurance ($0)
Yes - I will need ALM Insurance as a Primary ($10)
$0 if you have your insurance as a Primary
$10 per week for our partnered ALM Insurance as a primary at PSN Park
Primary Insurance Details
(your childs insurance carrier and policy number)
Medical Concerns
Food Allergies
REFERRALS
How did you hear about this Camp?
Be sure to let Others know about the Camp
TERMS & CONDITIONS
I have read and agree to the Terms of Service
*
Yes, I agree.
If your child is covered by a private insurance, you must provide us with proof of your child’s insurance coverage. If your child is not We offer this through our Partners ALM Sports Insurers at a cost of $10.00 for up to 7 days during the Winter Break camp. I give consent for my child to take part in the activity and consent to emergency treatment as necessary. I accept that the organizers and their employees are not under any liability whatsoever in respect of injury, loss or damage whilst on the course, other than imposed by law. I also allow MLUSC to take photos for advertising and promoting purposes only; if you do not want your childs photo to be taken please email info@miamilakesunitedsoccerclub.com. I confirm that my personal insurance is correct and bears responsibility in case of accidents. I confirm that I am legally entitled to give this consent and understand all payments received are non-refundable.
I agree and understand that all payments are non-refundable
*
Yes, I agree.
Total
$2.50
