Elmhurst College Soccer Academy
2004 Online Application
Located at Beautiful Langhorst Field at Elmhurst College
"For the Recreation and Select Player"
Junior Academy:
Select Academy:
ages 5-12 (Half Day / Full Day*) -
*Must be 7 or older for full day
Times: 9 a.m. to 12 p.m. or 9 a.m. to 3 p.m.
ages 11-17 Full Day
Lunch provided 9 a.m. to 3 p.m.
(
*
) required field
*
Camper's Name:
( Last, First MI )
,
Address:
City:
,
State:
Zip
*
Home Phone:
*
Work Phone:
Email:
Age at camp:
Birthdate:
Grade (as of 3-1-03):
Academy Dates
Session 1:
(Junior & Select) Boys & Girls 6/14 - 6/18
Session 2:
(Junior & Select) Boys & Girls 6/21 - 6/25
Session 3:
(Junior & Select) Boys & Girls 7/5 - 7/9
Session 4:
(Junior & Select) Boys & Girls 7/19 - 7/23
Comments:
If attending camp as a team, please indicate team name to receive discount.
David Ditomasso
*USSF "A" License
*NSCAA Premier Diploma
*Professional Player from 1994-1999
Call (630) 617-3470 for more info or
davidd@elmhurst.edu