Whitecaps Whitecaps

Summer Camp Registration

Location

Dates
Broadview Hts. * Broadview Center *9543 Broadview Rd 6/15-6/19
Brunswick * BRUNSWICK HIGH SCHOOL * 3581 CENTER RD 6/22-6/26
PARMA PARMA HTS *TRI C WEST CAMPUS * 11000 PLEASANT VALLEY RD. (4 day camp) 6/29-7/2
Strongsville, Strongsville High School, 20025 Lunn Rd. (4 day camp) 6/29-7/2
Twinsburg  * Liberty Park * 4175 E. Aurora Rd 7/6-7/10
INDEPENDENCE *ELMWOOD PARK *  6200 ELMWOOD AVE   44131
Official Whitecaps Camp- recommended for Travel and or Premier Players in addition to recreational players ages 4 thru 14. 		7/20-7/24
NORTHFIELD/MACEDONIA  * ST BARNABAS SCHOOL * 9451 Brandywine Rd.,Macedonia, Ohio    7/27-7/31
ORANGE/BEACHWOOD *ORANGE HIGH SCHOOL * 3200 Chagrin Blvd., Pepper Pike, Oh    44124 8/3-8/7

Your E-Mail Address: 

 

Re-Enter Your Email:

  

Sessions:
Please check each camp you are registering for. 








Full or Half Day:
(Whitecaps members deduct $40 from full day and $20 from half day)

Camper Information

Age: 

Camper's Last Name: 

Camper's First Name: 

Address: 

City: 

State:  

Zip: 

Phone:

Birth Date: 

  

Gender: 

 

T-Shirt Size:

School Grade: 

 Name of School:

Insurance Carrier:

Policy Number: 

Parent Information

Father's Name: 

Mother's Name: 

Emergency Contact:

  (name & phone)

Other Information

Special Physical or Medical Needs: 

Physicians Name:

Physicians Phone:

Medical Release: I verify that my child is covered by medical insurance. He/She has been checked by a qualified physician and is physically able to participate in soccer activities. I understand that playing soccer has the risk of injury. I release All Star Soccer, Inc., The Cleveland Whitecaps, it's employees, officers, agents, and hosting facilities from damages and liability that may occur while my child is at tryouts, practices, games, tournaments and other club functions.