High School Pre-Season Soccer Camp

If you have questions regarding the LMSC Pre-Season High School Soccer Camp, please contact Sam Lane
Name Of SoccerPlayer*
Address*
Street Address City State / Province / Region ZIP / Postal Code
Primary Phone Number*
Secondary Phone Number (Optional)
E-Mail Address*
Enter Email Confirm Email
Secondary E-Mail Address (Optional)
Enter Email Confirm Email
Parents' Names*
Name Of High School*
Please Select Grade (fall season)*
- 9th Grade
- 10th Grade
- 11th Grade
- 12th Grade
Gender*
- Male
- Female
- Other
Payment must be made by credit card. Your card will be charge a non-refundable $120 as well as a bank fee of about 3 %
Bank Fee*
Price: $0.00
Credit Card*
Card Details
Cardholder Name
Total Amoutn Applied To Credit Card
$0.00
If you have questions regarding the LMSC High School Pre-Season Soccer Camp, please contact Sam Lane
ADDITIONAL COMMENTS
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