Joao Ehlers Archives - Bushnell University

Men’s Soccer ID Camp

Athletics - Men's Soccer ID Camp Registration

Step 1 of 4

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Name*
First Last
Phone
Email*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
What is your intended major?

High School/College most recently attended:
High School/College Coach Name:
High School/College Coach Email:
Club Name (if applicable)
Club Coach Name (if applicable)
Club Coach Email (if applicable)

Emergency Contact Information
Name*
First Last
Relation
Phone*
Phone Type*
- Cell
- Home
- Work
- Other

Payment Information
Registration Fee (Choose One)*
Total ID Camp Cost
$0.00
Total ID Camp Cost
Credit Card Information

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name

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