REGISTRATION

 

The cost for LKA Camp is $25 Per Saturday for each player.  Each player will be placed on a team of like age and ability in order to ensure they have an enjoyable experience!

Upon submission of your registration, you will receive a medical history form and payment options via email,with instructions on how to proceed from there. 

IF YOU DO NOT RECEIVE AN EMAIL CONFIRMATION WITHIN 24 HOURS PLEASE EMAIL: INFO@DENKYEM.ORG.

 

Name *
Name
05/04/95
Gender *
Disclosure 1# *
If my application is accepted, I acknowledge that my payment will be deposited upon acceptance and if payment is refused, my application may be revoked. I also acknowledge that my application must be reviewed by DSA Soccer before my application is accepted and submitting an application does not guarantee acceptance. Checkbox 1 *
Disclosure 2# *
My child, named on this registration, has permission to take part in all camp activities, including offsite activities under camp supervision. I agree that the camp or its personnel will not be held responsible for accidents arising thereof. I understand that attempts will be made to contact me if my child requires emergency/medical/surgical treatment, but if it is impractical to do so and/or until I can arrive at the scene, I hereby give my permission for my child to be transported for medical care and also I give my permission to the physician selected by the camp staff to secure proper treatment, to hospitalize, to order injections, anesthesia, x-ray, or surgery for my child as named above. Any financial obligation incurred will be covered by me personally or by the insurance policy provided in this registration. *