2015 High School Camp put on by Chesterfield Football Club
Registration for the Parkway Central Soccer summer high school camp run by the Chesterfield Football Club.  Please fill out the form to register for the summer sessions on Monday and Wednesday evenings.  You are allowed to modify your answers after you submit this form.  You may mail the $75 check to Parkway Central High school, 369 N. Woods Mill Rd. Chesterfield, MO 63017.  Address the letter and the make the check payable to the Chesterfield Football Club.  You may also bring the money to school or the first summer session that you attend.
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First name *
Last Name *
Grade in the Fall *
Cell Phone # *
Parent/Guardian Name *
Parent/Guardian best contact # *
Parent/Guardian best email address *
Known summer conflicts
Waiver *
By agreeing in the following field, you hereby authorize the directors of the Chesterfield Football Club to act for you according to their best judgement in an emergency.  You know of no mental or physical problems which might affect your child's ability to safely participate in this camp.  You will be responsible for any medical or other charges in connection with your child's attendance at camp.  You agree that your child must abide by the rules and regulations of this camp.  You also authorize the hospital/physician/dentist to perform necessary procedures.
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