SOCCERTRON Powered By Eli Pasquale Sports!

SOCCERTRON SUMMER CAMPS @ GULF ISLAND SECONDARY AUGUST 7 - 11 Please circle camp attending: AGE TIME FEE 3-4yrs 10:30-11:30 $80.00 4-5yrs 11:00-12:00 $80.00 6-9yrs 10:00-1:00 $130.00 10-14yrs 10:00-1:00 $130.00 6-14yrs 10:00-4:00 $210.00

Please fill in the following registration and make cheque payable to: SOCCERTRON.

Then mail BOTH cheque and registration form to: PO Box 42068 2200 Oak Bay Avenue Victoria BC V8R 6T4

In addition, please send the registration form by email to: [email protected]

NAME:

BIRTHDATE: Gender:

ADDRESS:

CITY:

POSTAL CODE:

PHONE: HOME CELL:

EMERGENCY CONTACT (name and phone):

Email:

ELI PASQUALE SCOTT METCALFE 250-216-7378 250-888-9005 [email protected] [email protected] www.soccertron.com