Use this form to send us your registration info for any
of our pre-determined camps and clinics.  You will be
contacted shortly after submitting your registration
with confirmation and details about submitting
payment.
Player Name:
Parent/Guardian Name
Your Phone Number:
Your E-mail Address:
Adress:  Street
Adress:  
Adress:  City, State, Zip
Event Requested:
Age of Player at Event:  
Player's Experience/Level of Play  
Beginner, Intermediate, Advanced:
T-Shirt Size YS thru XL
Check Out the Online
Payment Options Below after
you Register!
Yth Sm     Yth Med     Yth Lrg
Sm       Med      Lrg        XL
Order a Camp Ball For
$15 - Indicate Yes or No
Ball Size Will Be Determined By Age.  Campers ages 5 to 7 will receive a size 3 ball,
ages 8 to 12 a size 4, and ages 13 and up a size 5 ball.




Shinguards will be fit on site.  Sizes XXS, XS, S, M, and L are available.
No             Yes
Order a Pair Of
Shinguards $10 -
Indicate Yes or No
No             Yes
Comments Or Additional Questions:
New!!! Submit Payment Online!!!
Choose your Columbia Soccer Academy Event from the list below for
Paypal Payment!
Middle School
Camp
Defiance High School Soccer Camp
June 15th thru 19th
 
 
Online Payment Options at
the bottom of the page!
Goalkeeper
Camp
You are invited to attend the Second annual Defiance High School Summer soccer camp, presented by Columbia
Soccer Academy!

Coach Rodgers and his staff of exceptional trainers will be putting the kids through a rigorous week of skills training
that will help them step up to the next level of play,

Here's what is on offer for you:

Middle School Camp
(Ages 11 thru 14)
Dates and Details Coming Soon for 2010
Cost - $105 per player

High School Camp
(Ages 15 thru 18)
Dates and Details Coming Soon for 2010
Cost - $105 per player

Goalkeeper Camp
(Ages 11 thru 18)
Dates and Details Coming Soon for 2010
Cost - $105 per player
High School
Camp