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: 703-777-4980 Contact Us
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 9am-3:30pm each day/Full Day Camp Ages 7-10 9am-12pm each day/Advanced Skills Camp Ages 7-10 5-7pm each day/Advanced Skills Camp Ages 11-15 7-9pm each day/Advanced Skills Camp June 23-27 Franklin Park, Purcellville June 30–July 3 (4 days) Claude Moore Park, Sterling (NO FULL DAY) July 7–11 Franklin Park Purcellville July 14–18 Ashburn Elementary, Ashburn (NO FULL DAY) July 21–25 Ashburn Elementary, Ashburn August 4–8 Leesburg Annex, Leesburg August 4–8 Sherando Park, Winchester (NO FULL DAY) August 11–15 Leesburg Annex, Leesburg August 18–22 Franklin Park, Purvellville (NO FULL DAY) August 25–29 Leesburg Annex, Leesburg (NO FULL DAY) After registering, participants will NOT receive confirmation of enrollment unless requested. Soccer Camp Residential Sessions at Frostburg State FULL July 13–19 Premier Advanced Camp-Boys (Sunday-Saturday) FULL July 27–August 2 Premier Advanced Camp-Boys (Sunday-Saturday) Roommate Request — Residential Camp Deposit of $100 for the day/residential school, must be mailed to ensure your place in the school. HOME | SCHOOL STAFF | SUMMER ACADEMY PROGRAMS | DEVELOPMENT PROGRAMS RESIDENTIAL CAMP | REGISTRATION FORM © 2008 Moravek Soccer Schools
Soccer Player Information
Parents/Guardian
Moravek Soccer Summer Academy Programs
Ages 6-12
Ages 7-10
June 23-27 Franklin Park, Purcellville
July 7–11 Franklin Park Purcellville
July 21–25 Ashburn Elementary, Ashburn
August 4–8 Leesburg Annex, Leesburg
August 11–15 Leesburg Annex, Leesburg
Roommate Request — Residential Camp
Deposit of $100 for the day/residential school, must be mailed to ensure your place in the school.
HOME | SCHOOL STAFF | SUMMER ACADEMY PROGRAMS | DEVELOPMENT PROGRAMS RESIDENTIAL CAMP | REGISTRATION FORM © 2008 Moravek Soccer Schools