| Francis Okaroh's
Ultimate
Soccer Academy
Registration Application 2008
Name:________________________________________
Address:______________________________________
City:_____________________STATE:_________ZIP:__________
COUNTRY:_________
Phone
Number:________________________E-Mail:______________________________
Age: _______
Gender:_____________ Current Grade in School: ____________ (Must be at
least 10yrs old as of July 1st, 2008)
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Parent's Name(s):__________________________________________________________________________
- Parent's
Daytime Phone
Numbers:________________________________________________________
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T-Shirt Size
(Adult Sizes):
(circle one) Small Medium Large X-Large
Shorts Size (Adult
Sizes):
(circle one) Small Medium Large X-Large |
Please Circle the
Appropriate

Shirt & Shorts Size |
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T-Shirt Size
(Youth Sizes):
(circle one) Small Medium Large X-Large
Shorts Size
(Youth Sizes):
(circle one) Small Medium Large X-Large |
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Check Box Below |
Indicate the
week(s) of camp you wish to attend:
"Watch Final Match
on Check Out Day @ 1:30pm" |
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Session 1: July 6
- July 11, 2008 -Individuals & Teams (Sun - Fri)
Check
In: Noon/Sun Check Out: 4:00pm/Fri |
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Session 2: July 27
- August 1, 2008 -Individuals & Teams (Sun - Fri)
Check In: Noon/Sun Check Out: 4:00pm/Fri |
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Session 3: August
3 - 8, 2008 - Individuals & Teams (Sun - Fri)
Check In:
Noon/Sun Check Out: 4:00pm/Fri |
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Rate Pay by:
May 1st, 08 |
Jul
1st, 08 |
Day of Camp |
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Check Box Below |
Individuals please
check one of the following: |
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$650 (Includes 3
meals) Overnight Camper- 1 week |
$675 |
$700 |
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$550 (Includes 2
meals) Day Camper - 1 week |
$575 |
$600 |
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Team members
please check here and enter team name (click
here for more Team Week Info): |
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$600 by May 1st
(Includes 3 meals) Team Player - 1 week -{ $625 by Jul 1st},
{$650 Day of Camp} |
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Enter Team Name: |
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Check Box Below
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Two Week Discount
- Campers who wish to attend two weeks: |
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$1120 May 1st, 07
(Includes 3 meals) Overnight Camper- - 2 weeks { $1170 by Jul
1st}, {$1220 Day of Camp} |
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$1020 May 1st, 07
(Includes 2 meals) Day Camper - 2 weeks { $1070 by
Jul 1st}, {$1120 Day of Camp} |
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- A nonrefundable
deposit of $250 is required with your application for each
registered camper.
- Registrations are
accepted on a first come, first serve basis.
- Balance of
payment is due by July 6, 2008, and is nonrefundable.
- Mail Registration
forms and Make Checks Payable to: Francis Okaroh,
- 23 Paquin Drive,
Marlborough, MA 01752
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