WILLIAM TRIPPLEY SOCCER CAMP

AT

Widener University

August 10th - August 14, 2009

9:00am - 11:00am

Ages 6 - 11 years old

100% FREE

To pre-register, please fill out the information below and mail to:

P.O. Box 223             Wallingford, PA  19086

Please return the bottom portion to the address above to secure your child’s spot. Thank you.

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Name:_____________________________________________________________ Age:_________

Address_________________________________________________________________________

City/State/Zip:___________________________________ Phone:__________________________

Email:___________________________________________________________________________

                                                            Soccer Camp Registration Form