For more information visit
londongryphonsoccer.com
Phone # (519) 681-5861
Please mail cheques to:
3D, 841 Wellington Rd. S, London, ON N6E 3R5
Registration Form
READ CAREFULLY
Please fill in all fields.
Name:
Age:
Address:
City:
Postal Code:
Home Phone:
Cell Phone:
Parents Business #:
Email:
Name of Current Team:
Club Playing With in 2007:
PARENT/GUARDIAN ACKNOWLEDGMENT:
I hereby personally and as a parent or guardian of the applicant release you, your officials, directors, officers and/or executive of actions and/or lawsuits arising from any injury and/or accident to the applicant/player during games, practices and/or any other activities and/or while en route to or from said games, practices and/or other camp activities. Also, by the signature below, I certify that the information given in the application is true and accurate.
Parent's Name:
Today's Date:
Choose T-Shirt Size:
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
(All campers wearing Camp T-Shirts will be admitted to London Gryphons Home Games Free)
Full Day Camp Cost: $175.00
Half Day Camp Cost $90.00
Time: 9:00 a.m. until 3:00 p.m.
Time: 9:00 a.m. unitl 12:00 p.m.
The camp fee includes:
Professional Instruction
.
An official London Gryphons T-Shirt
Certificate of Participation
Parents Must Sign In and Out each Day when picking up Child
Early Drop-Off for Children prior to 8:45 a.m. or Late Pick-Up after 3:15 - Additional Charge of $5.00 per day (must advise what time you are intending on dropping off or picking up campers)
Applications must be received no later than 2 weeks prior to camp date
Limited Space -- First come, first serve
No Refunds
Choose Camp Date:
July 2-6 Full Day
July 9-13 Full Day
July 16-20 Full Day
July 23-27 Full Day
July 30-Aug. 3 Full Day
July 2-6 Half Day
July 9-13 Half Day
July 16-20 Half Day
July 23-27 Half Day
July 30-Aug. 3 Half Day