Learn from Olympic, Professional & College Coaches, National Team & MLS Players.

Pennsylvania Camp Registration

Player Application:

Step 1 of 2 [* ALL FIELDS REQUIRED]

Player's First Name:*

Player's Last Name:*

Player's Age:*

Address:*

City:*

State:*

Zip:*

Parent Cell Phone #1:*

(XXX) XXX-XXXX

Parent Cell Phone #2
Or other emergency contact #:

(XXX) XXX-XXXX

E-mail Address:*

Uniform Size:*

Youth Adult
X-Small	Large
Small	X-Large
Medium	XX-Large

Last Team Played For?

How did you find us?

Roommate Requested:

Program:

Camp Requested:

July 29 - August 2, Malvern, PA
August 5 - 9, Malvern, PA

I will be in the Goalkeeper Program

Yes:

Camp Type:

Residential Camp

$595.00 Fee

$250.00 Deposit*

Day Camp

$395.00 Fee

$150.00 Deposit*

$595.00 Team Price*

My child is in good health and has my permission to participate in all camp activities. In case of emergency, I hereby give my permission to the Doctor, selected by the Director of Premier Plus Soccer Camp, to secure proper treatment. All pictures and videos may be used by Premier Plus Soccer Camps at their discretion.

No refunds, only a transferable credit towards a future camp at any of our locations.

Do you agree? Yes No

Camp Director, Dennis Lukens directed and produced the best selling soccer instructional video "World Cup to the Backyard" featuring members of the 1999 World Cup Champion United States Women's National Team.