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) *

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

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