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Dynamo Elite Camp Registration

Want to be a part of the competitive tryout for the area's best youth players? Here's your chance!

Each player will be evaluated by the Dynamo coaching staff and successful players will be invited to train with the Dynamo Academy.

WINTER DATE & LOCATION
Dates Age Time Location
December 27-30 BOYS 13-18 2-5 p.m. Presbyterian School Outdoor Education Campus
Highway 288 and Reed Road

To register for the Dynamo Elite Camp, please fill out the form below. You can register up to two campers per online form. All fields marked with an * are required.

Step 1. Select Number of Camp Participants
Camp Price per Camper # of Campers Total
Dynamo Elite Camp $179 x     = $ .00
(+ $5 processing fee/camper) $.00
Total Cost: $  .00


Step 2. Camper's Information
* Choose a camp to attend:
* Camper's First Name: * Camper's Last Name:
* Camper's Birth Date:
* T-Shirt Size: * Years Camper has played soccer:
Position(s) Camper plays:  Goalkeeper     Defender     Midfielder     Striker
Camper's League name: Club name:  Team name:

Step 3. Emergency Information
How did you hear about the Dynamo Camps?
* Emergency Contact Name: * Emergency Contact Phone:
* Family Physician: Family Physician Phone:

Step 4. Parent/Guardian's Information
Billing Info
*First Name:
*Last Name:
Organization:
*Address:
Address Line 2:
*City:
*State / Province:
*Zip / Postal Code:
*Country:
Shipping Info same as billing info
*First Name:
*Last Name:
Organization:
*Address:
Address Line 2:
*City:
*State / Province:
*Zip / Postal Code:
*Country:

Payment Info
*Name on Credit Card:
*Credit Card Number:
*Credit Card Expiration:
*Credit Card Type:
Contact Info
*Evening Phone:
Mobile Phone:
*Birth Date:
*E-mail Address:
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