Wellington C Mepham High School

Soccer (F)

Girls Soccer/Speed and Agility Week 2

Camp will take place Monday- Thursday 7-9am on the Mepham Hs Turf

Camp Start Date:

August 11, 2025

Start Time:

7:00:00 AM

Camp End Date:

August 14, 2025

End Time:

9:00:00 AM

Venue Name:

Mepham High School

Venue Address:

2401 Camp Avenue, Bellmore, NY 11710

Camp Cost:

$75.00

Questions:

Coach Bizelia

cappello19@Hotmail.com

Special Notes:

Make sure if you have any medical issues to please notify the coaching staff prior to the start. Also every player will need proper soccer attire-- Shin guards, cleats or turf shoes, running sneakers and your own water! Also, it is important to eat a light breakfast.

Download Brochure

Girls Soccer/Speed and Agility Week 2

First Name *
Last Name *
Mobile *
Email *
Grade *
Birth Date *
Address *
City *
State *
Zip Code *
Medical Information *

List Medications/Medical Conditions here. If none, type N/A

Page 1 of 2

Next >>

Guardian First Name *
Guardian Last Name *
Guardian Cell Phone *
Guardian Email *
Alternate Guardian First Name
Alternate Guardian Last Name
Alternate Guardian Phone
Alternate Guardian Email
Medical Release Information

Guardian Signature *

I, the parent/legal guardian, agree entirely to the Medical Release Information.: clear

Page 2 of 2

<< Previous

Wellington C Mepham High School Soccer (F)

Please take a moment to fill out the information below and then proceed to the next page.

$75.00

Qty:

Girls Soccer/Speed and Agility Week 2

CAMPER INFORMATION

PARENT/GUARDIAN INFORMATION