Nimitz Soccer Camp Registration Form

Parent/Guardian full name *

Email address *

Mobile phone number *

Child’s full name *

Grade (K, 1, 2, 3, 4, 5, 6) *

I permit my child to be photographed or filmed during camp for promotional use of the program.
I agree to receive informational and promotional text messages from Private Soccer Hawaii Academy about future private soccer trainings, soccer camps, and related updates
I understand that participation in soccer activities involves physical activity and assume all risks associated with my child’s participation. I agree to release the camp organizers, coaches, and Nimitz Elementary School from liability for ordinary

Player's Gender *

Boy
Girl
Prefer to not say

Any medical conditions, allergies, or special needs we should know about? *

What is your child's soccer experience so far? *

Did you ever work with a personal soccer & fitness trainer before? *

After the camp, you will be offered a $20 voucher for a private 1on1 or small group training with the most elite coaches from Private Soccer Hawaii Academy. Voucher available to use until 08/30. Would you be open to it? *

Definitely yes!
No.
Maybe, need to figure out transportation
We have a busy schedule, but we are interested in joining at least once.
I'm a single parent, interested.

You can make the payment through the Venmo link - https://venmo.com/u/PrivateSoccerHawaii, or Zelle / Apple Pay @ 8085003222. If you need more information, give us a call.