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Official Sponsor

You may also print this form, fill out and mail with your payment to: 

Moravek Soccer School
P.O. Box 135
Leesburg, VA 20175


Phone: 540-336-0144
Phone: 571-216-6886
MoravekSoccer@aol.com
tatogendive@hotmail.com

 

 Soccer Player Information

First Name  Initial 
Last Name Age
Male Female
Street Address & City/State/Zip

Parents/Guardian

Name
Street Address & City/State/Zip
E-mail Address
Home Phone
Work Phone
Cell Phone

Moravek Soccer Summer Academy Programs

Ages 6–12

9:00 am–3:30 pm each day

Ages 6–12

9:00 am–12:00 pm each day

Ages 3–5

9:00 am–10:30 am each day
 

June 22–26 Purcellville, Franklin Park

June 29– July 3 Purcellville, Franklin Park

July 6–10 Sterling, Claude Moore Park

July 13–17 Sterling, Claude Moore Park

July 20–24 Ashburn, Ashburn Elementary School

July 27–31 Ashburn, Ashburn Elementary School

August 3–7 Leesburg, Leesburg Annex

August 10–14 Leesburg, Leesburg Annex

August 17–21 Leesburg, Leesburg Annex
August 24–28 Purcellville, Franklin Park
 
After registering, participants will NOT receive confirmation of enrollment unless requested.
 
2009 Residential Camp Dates

July 26–August 1 Premier Advanced Camp: Boys Ages 9–18 (Sunday-Saturday)
Frostburg State University, Frostburg, MD

August 2–August 8 Premier Advanced Camp: Boys Ages 9–18 (Sunday-Saturday)
Frostburg State University, Frostburg, MD

Premier Advanced School: $500.00 per student
Siblings: $465.00 per student, Two week participants $465.00 per student
Team with 10 or more: $465.00 per student


Roommate Request — Residential Camp

 

A $100.00 is deposit required with your application. The balance is due on first day of camp. No refunds give after registration.

Every student must get a full physical before attending camp and provide it to the staff on the first day of registration.