First Name


Last Name


Street Adress


City

State


Zip Code


Age


Phone


Email Address


Location
Grosse Ile, Airport Soccer Fields Royal Oak High School, Churchill Community Education Center Club Italia Soccer Camp, Clinton Twp Community Center

Participant Level--choose level and position:
Beginner
Intermediate
Advanced

Choose position:
Goal Keeper
Field Player

T-shirt size:
S
M
L
XL

Comments: