SoccerPlus Camps - The DiCicco Method

"The SoccerPlus Camps program is tough and intense. Those who attend our soccer camps become part of a very special family. The soccer skills, friendships and self-respect you gain here will last a lifetime."
- Tony DiCicco"

SoccerPlus Camps - The DiciCco Method

2009 Application

YOU MAY APPLY OVER THE PHONE
CALL US NOW TOLL FREE AT
1-800-KEEPER-1
Please call 1-800-KEEPER-1 to check on availability
If you want to mail or fax in your application, please choose to download the printable version, complete and mail or fax that one-page application to us.
> Printable Camp Application (.pdf) - Coming Soon!
> Looking for the Day Academy? - Click Here

A. Student Information

*
Student's First Name

*
Student's Last Name

*
Street Address

*
City

*
State

*
Zip

E-mail Address

Gender: *
Male
Female

Date of Birth:
(mm/dd/yy)

*
Month

*
Day

*
Year

T-Shirt Size: *
Each Camper will receive a FREE
Short-Sleeve adidas T-Shirt

I am one of the following: *

Roommate Request:
(If Applicable)

B. Parent or Guardian

The Goalkeeper School participant is in good health and has my permission to participate in camp activities. In the event of an emergency, I hereby give permission to the physician selected by the camp director to secure proper treatment for the student. All pictures or videos taken at camp may be used at the discretion of SoccerPlus.

Name of Parent or Guardian
(Required if Student is younger than 18)

*
Home Phone Number

Cell Phone Number

D. Location and Dates

Choose one
*
Note: Please make sure that the program you wish to attend is being held at this location and is still available. For Example: The Striker School is only available at 7 locations. Visit the Schedule Page to check on availability or call us toll free at 1-800-KEEPER-1.
Note: If you are applying for a 2-Week program, please use the comment section below to indicate the program of choice for the first week and for the second week. Call us toll free at 1-800-KEEPER-1 with any questions.

E. Payment
SoccerPlus uses Secure Socket Layers (SSL). By using a SSL we ensure that your credit card number is safe. Your credit card number and any information you enter into this form will only be seen by SoccerPlus Camps.
I am paying one of the following: * (Full tuition required if applying within 30 days of camp) $250 Non-Refundable Deposit ($500 deposit for 2-Week Academy) Refund Policy Full Tuition
I also want to buy an official SoccerPlus/adidas Camp Ball for an additional $25 (Note: By selecting "Yes", you will be charged $25 in addition to the camp tuition)		OPTIONAL
In addition to my FREE t-shirt, I also want to buy a SoccerPlus/adidas Long Sleeve Training Jersey for an additional $25 (Note: By selecting a size, you will be charged $25 in addition to the camp tuition)		OPTIONAL	$35 value!
I will be using the following type of credit card: * Visa MasterCard Discover
Credit Card Account number: * (Example: 0000-0000-0000-0000)
Credit Card Security Code: * (This is the 3 digit number on the back of your card)
Credit Card Expiration Date:	* Month	* Year
Name of Card Holder: *
Check here to automatically pay your balance: Yes, please automatically charge the balance to my credit card 30 days prior to the camp start of camp.
The confirmation package will include a confirmation letter, a map to and of the campus, a medical form, what to bring list, and pre-camp tips and advice. Note: If applying for our Two-Week Academy, please identify below which program you would like to attend for each week. If you have any questions, please contact us at 800.533.7371.
Type any comments in the field below:

Please Note: After submitting this application the SoccerPlus Office Staff must process your information before the student is enrolled in camp.
You will be directed to a receipt/page of your application.

Apply Now

Apply Today

2009 Schedules

Residential Schedule
View Schedule
12 States, 18 Camps
Utah
Virginia

Day Camps Schedule
View Schedule
More sites will be added soon

CAMP SURVEY - 2009

HAVE YOU ATTENDED A SOCCERPLUS CAMP IN 2009?
We are committed to providing our students with the best possible experience. Since 1982 we have continued to evolve based on our students' and parents' feedback.

Take our online SurVEy
If you prefer to talk to us, please call Toll Free 1-800-KEEPER-1

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