Camper's Full Name *

Birthdate *

Parent(s) Name *

Address *

City / State / Zip *

Phone / Cell Number *

Email Address *

Camp(s) Attending (hold CTRL to select multiple camps) *Note: To sign up for the June 1-4 camp in Hillsboro, visit www.hillsborosoccer.org.* *

T-Shirt Size *

Campers can have their last name put on the back of their camp t-shirt for $15. If interested, please select "yes" and be sure to purchase the t-shirt personalization when purchasing your camp. All participants of the Timbers Family Soccer & Fitness Training Camp receive personalized jerseys and do not need to fill out this portion of the sign up form.

I agree that Shortstop, LLC is not responsible for accidents and/or medical or dental expenses received as a result of my child(ren) participating at the camp. I understand that no reduction in the tuition will be made for late arrival, early departure, vacations, illness or injury. Permission is herby granted for photographs and/or videotapes to be taken of my child(ren) at the camp. Shortstop, LLC has the right to utilize these photographs in the camp brochure or displays, or for any other purpose. In the event that I cannot be contacted in an emergency, I hereby grant Shortstop, LLC permission to give whatever immediate treatment in necessary and/or take my child to a hospital or other medical treatment facility. I have carefully read all the information in this form and agree to all conditions. *

Signature (please type your full name): *

Be sure to complete the payment section by clicking "Submit" below to be taken to the payment screen.