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Feel free to contact us with any questions, concerns, or feedback anytime!
Call or Text: 609.374.4552

*Name:
(First/Last)

*Street Address:

*City:

*State:

*Zip:

*Parent/Guardian:

*Home Phone:

*Cell Phone:

*Email:
*ReType Email:

*School:
*Age:

*Skill Level:

Recreational Player
Club Player
High School Player
Upcoming High School Player

*Position:

Field Player
Goal Keeper

*How did you hear about us?:

Returning Camper
Web Search Engine
Referral:
Yard Sign
Brochure

Statement & Release :

I waive and release Anthony Maher, Matthew Maher, Dwight Dunbracco, Maher Brothers Pro Touch Soccer Camps LLC and all Soccer Staff from all liabilities for any injuries and/or illness incurred while being trained. I hereby authorize the staff to act for me in the case of a medical emergency. I give permission for a physician or medical staff to administer needed treatment or care.

*E-Signiture:

I waive and release
I do not waive and releasenal

*Emergency Contact Name:
(First/Last)

*Emergency Contact Phone:

*Select Camp:

*Camp Program:

*T-Shirt Size:

*Lunch Break:

YES!! 2 pieces of pizza and a drink daily
$20 for the week/$4 a day
(I will pay at the beginning of the week)

No Thank You, I am not a Full Day Camper

Not sure yet or maybe some days
(I will pay per day in the morning if I choose.)

Comments: i.e. Sibling discount, camp friends grouping requests, any concerns
	Donate to IVictory? Founded by the Maher brothers in memory of their brother John, IVictory is a free Christian camp that utilizes the sport of soccer to go "Beyond the Goal" in teaching today's youth that winning is secondary to victory in Christ. $10 $50 $100 Other

Payment Type:

Pay Online

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Barber's Professional Landscape Maintenance

Maher Brothers Pro Touch Soccer Camps
1425 Burleigh Rd
Cape May Court House, NJ 08210

info@maherbrotherssoccer.com | (609) 374-4552