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Get Check Registration Form - Panther Soccer Camp

-29, 2012 S4 - July 23-27, 2012 S5 - July 30- Aug. 2, 2012 Panther Soccer Camp P.O. Box 17185 Anaheim, Ca 92817-7185 Phone: 714-308-1578 Fax: 714-459-7256 www.carrillosoccercamp.com Returning Camper CAMPER INFORMATION: ALL FIELDS MUST BE COMPLETED Name: Age: Date of Birth: 1/12/2001 Gender: PARENT/GUARDIAN INFORMATION: Skill Level: Name: Beginner (0-2 yrs exp) Address: Advanced (5+ yrs exp) City: Intermediate (3-4 yrs exp) How did you hear about us? Player Level: State: None Zi.

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