Martin Methodist College -

Summer Soccer Camp Application

Day Camp June 19-23rd

Residential Camp June 26-30

The application and deposit must be received by May 31st.

Participant's Name

Parent or Guardian

Street Address

City

State

Zip Code

Grade this fall

Home Phone

Work or Cell Phone

Please select one.

Which position?

Field Player

Goalie

T-shirt Size

Youth SM

Youth M

Youth L

Adult SM

Adult M

Adult L

Adult XL

E-mail Address

Comments or Questions

Enrollment will be secured by receiving an application, deposit and signed Parental Release Form (residential camp) (day camp). Please send your deposit of $50 for the Day Camp or $100 for the Residential Camp to:

Martin Methodist College
ATTN: Paschal Dunne
433 West Madison Street
Pulaski TN 38478