Del Dayo Elite Camp Registration

Please complete all sections and sign below:

Product

Camp Fee$65

This registration fee is non-refundable.

Player Information

Player Last Name

Player Middle Name

Player First Name

Player Address

Player City

Player State

Player Zip Code

Player Phone Number

Player Birthday

Month

Day

Year

Player Age

Player Gender

Female

Male

Other

CAMP Information

T Shirt Size

Small

Medium

Large

Extra Large

Player Skill Level

Beginner

Intermediate

Advanced

(Beginner players are considered players who have never played soccer or participated in a soccer match or have played for less than 1 year.

(Intermediate are players considered to have played soccer for at least 1-2 years. They have familiarity with the sport and have played on either a little league or recreational team. )

(Advanced level players are considered to have played either for a club, academy, pre-academy or traveling based competitive team. These players may have 2-4 years of playing experience. )

Primary Guardian Information

Primary Guardian Last Name

Primary Guardian First Name

Primary Guardian Address

Primary Guardian City

Primary Guardian State

Primary Guardian Zip Code

Primary Guardian Phone Number

Primary Guardian Email Address

Secondary Guardian Information

Secondary Guardian Last Name

Secondary Guardian First Name

Secondary Guardian Address

Secondary Guardian City

Secondary Guardian State

Secondary Guardian Zip Code

Secondary Guardian Phone Number

Secondary Guardian Email Address

Emergency Information

List Any Medical | Psychological Condition, Allergies, etc. Player May Possess -

Please Indicate Any Prescribed Medications That Players Must Take

Person To Notify In An Emergency

Doctor To Notify In An Emergency

Agreement

By signing this agreement, I agree to abide by the rules and regulations of the SEMSA Academy. I recognize the possibility of physical injury associated with soccer while participating in the SEMSA soccer program, therefore I release, discharge and/or otherwise indemnify SEMSA, their employees and associated personnel including the owners of the fields and facilities utilized for the program, against any claim by or on behalf of the registrant as a result of his or her participation in the program.

Accept Agreement

Accept Agreement Date

ELite SummER CAMP Registration

Sacramento Elite Minor Soccer Academy | Summer Camp

Player Information

CAMP Information

Primary Guardian Information

Secondary Guardian Information

Emergency Information

Agreement

Contact us

Socials

Hours of operation