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Charleston Soccer Training Centers

Charletson Soccer Camp

Application Form

2017 Bob Winch's Charleston Soccer Training Centers

Register online

or Print, Fill Out & Mail

In accordance with the Children's Online Privacy Protection Act a person must by 13 years of age or older to complete and submit this form

Name: Address:

City: State: Zip:

Phone: E-mail Address (required):

Age at Camp:

Please Check The Desired Training Center & Session

2016 Dates




June 6-9 Summer Training Center - Half Day
Porter Gaud, Charleston, SC
(Boys & Girls ages 4-12)

$145
June 6-9 Summer Training Center - Full Day
Porter Gaud, Charleston, SC
(Boys & Girls ages 4-12)

$235
June 12-15 Summer Training Center - Half Day
Porter Gaud, Charleston, SC
(Boys & Girls ages 4-12)

$145
June 12-15 Summer Training Center - Full Day
Porter Gaud, Charleston, SC
(Boys & Girls ages 4-12)

$235
June 19-22 Summer Training Center - Half Day
Porter Gaud, Charleston, SC
(Boys & Girls ages 4-12)

$145
June 19-22

Summer Training Center - Full Day
Porter Gaud, Charleston, SC
(Boys & Girls ages 4-12)

$235
June 26-29

Summer Training Center - Half Day
(Boys & Girls ages 4-14)
* This camp held at Brevard College, Brevard, NC

$120
June 26-29

Summer Training Center - Full Day
(Boys & Girls ages 4-14)
* This camp held at Brevard College, Brevard, NC

$185

Application will not be processed without completed consent form below. Full payment required for Day Program

Parental Consent Form
To enable the Health Center and/or other health facilities in the area to provide prompt care to your minor so, we must have a completed Parental Consent Form on file. This way, we can help your child without delay in the event of an emergency.

Name of Minor: Birthday (M/D/Y):

Medical Information

Allergic Reactions:

Medication Presently Taking:

Date of Last Tetanus Toxoid:

Past illness or other information that would be useful
in the event treatment is necessary.


Emergency Phone Numbers
Father (Home): Mother (Home):

Father (Work): Mother (Work):

Please check One of the following permission options:
I grant permission to the director, assistants, or other persons responsible for his/her care to act on my behalf for said minor in granting permission for evaluation and treatment of medical problems. I understand that should a major medical problem arise, an attempt will be made to notify me by telephone. In the event that I cannot be reached, I hereby give my consent to such treatment as deemed necessary (including surgery, X-ray examinations and anesthesia to be rendered to said minor by a licensed physician or nurse). The participant agrees that soccer is a contact sport and Bob Winch's Charleston Soccer Training Centers will not be held responsible for any accidents, inury or loss, however caused and agrees to forever release and discharge the directors, agents, employees and any other person or corporation connected herewith from all manner of actions, injury, damages, costs, claims or demands which shall or may hereafter suffer or receive by reasons of participation in the program. Also, Charleston Soccer Training Centers reserves the right to use any pictures/videos taken during the program for advertising and instructional purposes.

I authorize limited care as follows:

I, , declare that I am the of the above named minor.

Application will NOT be processed without complete consent form.
Please send completed Application & Consent Form to:
Charleston Soccer Centers
1146 Holly Bend Drive
Mount Pleasant, SC 29466
843-708-9625
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  • What They Are Saying
  • "This is the best soccer camp I have attended in South Carolina. All the soccer exercises were very challenging."
    -- Wesley Asburn, Charleston, SC
  • "We really enjoyed our experience at the Charleston Soccer Training Centers. The staff and school were very impressive."
    -- Claire Edwards (mother), West Ashley, SC
  • "The Staff was not only very knowledgeable about soccer but really made a point of learning each childs name and giving them individual attention throughout the week."
    -- Bruce Talbot (father), Mt. Pleasant, SC
  • "I loved the soccer, lunch, video‚Äôs, swimming and the indoor soccer at the end of the day was intense."
    -- Nicholas Hayden, Mt. Pleasant, SC
  • "All of my kids have attended The Charleston Soccer Training Centers. It is the only one they will go too."
    -- Mary Johnson (mother), James Island, SC
  • "Our team attend The Charleston soccer program and the training was very specific and the teaching points given each day gave the children a better understanding of the game."
    -- Janet Glover (youth soccer coach), Summerville, SC