For Application Visit: WhartonSoccer

1. Wharton High School Soccer Camps Kick The Summer Off With Your Friends! 2008 State Champions 2011 Boys’ & Girls’ District Champions Register Now $100 For Application Visit: www.WhartonSoccer.us Hosted by Coaches Scott Ware & Denis Vukorep Email: denis.vukorep@sdhc.k12.fl.us Phone: (734)320-4715 ----------------------------------------------------------------------------------------------- Please mail to: Wharton Wildcats Soccer Camp 10118 Arbor Run Drive Tampa, FL 33647 Registration Form All Sessions 8am – 12 1-Open ___ June 16 – 19 2-Open ___ June 23 – 26 $100 Cash, Check, or Money Order Accepted. Make Checks Payable to: Wharton Soccer (No refunds for cancellations, injuries, or withdrawals if less than one week prior to camp.) _________________________________________ ____________________________________________ Player Name Parent/Guardian Name _______________________________________________________________________________________________ Street Address City State Zip _(______)______-________________ ___/_____/_____ _________________ Home Phone Birth Date ’13-’14 Grade Level _(______)______-________________ _________________________________ ______________ Cell Phone Email T-Shirt Size Parent/Guardian Consent Form The undersigned parent or guardian understands that the applicant will be engaging in physical activity during the program which contains a risk of physical injury. The undersigned assumes the risk, and releases Wharton Wildcats Soccer Camp, their directors, and employees from any and all liability for personal injury arising out of applicant’s participation. I further agree to pay through my insurance company or otherwise for any medical treatment that might by necessary for injury that may occur due to participation in this camp. ________________________________________________________________ Parent/Guardian Signature Date