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Soccer Camp Registration

Camp Registration Form:

        Please print out and return to Mr. Yi Lin Liu, Head Women 
Soccer Coach, P.O. Box 809, Hanover College, Hanover, IN 47243. 
Tel. 812-866-7388 or Email linliu@hanover.edu

Name: ____________________________	Age: _______________	Sex: _____
	   Last	       First

Home Address: ____________________________________________________________
		 Street 		City		State	Zip Code

Home Phone: ____________________	Emergent Phone: __________________

Parent or Guardian: ______________________________________________________

Field Player or Keeper: _______________	Name of School: __________________

T-shirt Size:__________________________ Ball Size: _______________________

Roommate Request: ________________________________________________________

Food Allergies: _______________________	Medical Allergies: _______________

Injury History: __________________________________________________________

I give my permission for my child to be treated in case of an emergency, 
and I will not hold Hanover Soccer Camp responsible for injury to my child.
I certify the above information is true.

Parent Signature: ________________________________________________________

Please mail this completed form and $50.00 non-refundable deposit to 
Coach Yi Lin Liu, P.O. Box 809, Hanover College, Hanover, IN 47243. Check
should  be made payable to Hanover Soccer Camp. After we receive your 
registration, you will receive a receipt and further detailed instructions
about the camp. Registration deadline is July 1, 2002.


IF YOU WANT TO PRINT OUT THE FORM JUST HIGHLIGHT ALL OF THE TEXT AND
RIGHT CLICK ON IT. THEN CLICK PRINT AND IN THE PRINT MENU THAT POPS UP,
CHANGE THE PRINT RANGE FROM 'ALL' TO 'SELECTION'. THEN CLICK 'OK'.