Test - Camp Form | US Youth Soccer

PLAYER INFORMATION

First Name *

Last Name *

Gender *

Date of Birth *

MM/DD/YYYY

Age Group *

Address *

City *

State *

Zip *

Home Phone *

Parent/Guardian Email *

Confirm Parent/Guardian Email *

EVENT INFORMATION

I consent to my son/daughter attending and participating in ID Camp. *

Event Fee: $650 (Credit Card Payments)

Discount Code (For State Association Subsidies)

NOTE: Discount codes are only eligible for the full payment option.

Fees To Participate *

2018 ODP Midwest ID Camp: Deposit/Half Payment $330.00
2018 ODP Midwest ID Camp: Full Payment $650.00

PAYMENT INFORMATION

Cardholder Name *

Card Type *

Card Number *

Exp Date *

Security Code (CID/CCV2) *

NOTE: If you are making a deposit/half payment, your credit card WILL NOT be automatically charged for the remaining balance. You will be required to complete the online payment link again by the May 31st deadline.

Refund Policy: Non-Refundable

* Indicates Response Required