2018-19 SSM Boys Soccer Top Talent Camp

Camp Date *

December 27-30, 2018

June 23-26, 2019

July 28-31, 2019

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Birth Date (ex. XX/XX/XXXX) *

Position (Goalkeeper or field position) *

Hometown *

Current School/Team *

Residential or Commuter *

Emergency Contact *

Others who may be interested in camp (please include name and email address) *

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