EPSA CAMP (ages 6 - 12) | Evergreen PS Academy

Evergreen Premier Soccer Academy

2025 Summer Camp Registration Form

Start, Grow & Excel

We’re excited to host our upcoming Summer Camp, offering both full-day and half-day options. For campers in 1st grade and above, we recommend the full-day program, as afternoon sessions include mental training, indoor scrimmages, and team-building activities.

*Before and after care is available for families who need it, though we kindly ask that children are picked up on time whenever possible.

We’ve also partnered with Ahram Kitchen to offer a delicious lunch option. Once registered, families who express interest will receive a menu to select from, and an invoice will be sent separately.

Link: Yelp: Ahram Kitchen – Renton

Campers will be grouped by age and skill level. Mornings will focus on skill development and strength training, while afternoons will shift to classroom activities and indoor soccer games. If you have any questions, please don’t hesitate to reach out! As part of registration, each player will receive a Kickoff Journal

and a pair of Grip Socks!

Full Day (5-day)

Camp Dates: August 11–15, 2025 (M - F)

Time: 9:00 AM – 3:00 PM (Early drop-off and late pick-up available)

Location: Forest Ridge School of the Sacred Heart

Half Day (4-day)

Camp Dates: August 11–14, 2025 (M - Th)

Time: 9:00 AM – 12:00 PM (3 hours)

Location: Forest Ridge School of the Sacred Heart *We’re happy to offer a sibling discount to support families with multiple players:

2nd child: $50 off
3rd child and beyond: $75 off each

The discount will be applied after registration. If registering multiple children, please complete a separate form for each and email us evergreen.ps.academy@gmail.com

First name (Parents)

Last name (Parents)

Phone

What area do you live in? City & Zipcode

Childs Name

Childs Exact Age.

Please describe your child's previous soccer experience example - Rec (less the 1 years), Select (2 - 4 years), Premier (4+years)

example) Rec (less the 1 years), Select (2 - 4 years) or Premier (4+years)

Have you been with or applied to Evergreen Premier in the past? If so anything you would like us to pay attention to?

Current Soccer Club (if any):

Select Player Gender?

Boy

Girl

Health & Safety: Allergies?

Yes → Fill out below

Allergy List → If yes, please list:

Medical Conditions / Behavioral Notes: (if relevant)

Medications During Camp?: Name & Instructions: (If relevant)

Insurance Provider & Policy # (Optional):

How did you hear about us?

Friends

Social Media

Other

LUNCH OPTION: We are partnering with a local catering service to offer optional lunches during camp. A sample menu will be shared 3 weeks prior to camp once the list is finalized. Note: An additional cost will apply for the lunch service. Meals will incl

Yes

No, we will pack our own lunch

Camp Fee: $420 - 5 full days of camp (9 AM – 3 PM) 5 full days of camp (9 AM – 3 PM) One pair of training grip soccer socks * One Kickoff Training Journal

5 Full-Day Camp (Mon–Fri): $420 + tax

4 Half-Day Camp (Mon–Thurs, 9:00 AM – 12:00 PM): $300 + tax

Sock Size

Youth Boys (Men's): US 12C – 4Y Youth Girls (Women's): US 12C – 5Y

Youth Boys (Men's): US 4.5Y – 7Y Youth Girls (Women's): US 5.5Y – 9Y

Schedule Preferences:

Will you use early drop-off (8:30 AM)? Additional $25 fee applies for early drop-off covering all 5 days

Will you need late pick-up (until 4:00 PM)? Additional $50 fee applies for late pick-up (Monday to Thursday only)

If accepted, you will recieve your class placement via email when new enrollment opens. You will be given 48 hour to enroll upon receiving this email. This is due to the high demand for class spots. We sell out every season and do not hold spots without payment.

Liability Waiver Acknowledgment: I agree to the terms and conditions, and release Evergreen Premier Soccer Academy and its staff from liability in the case of injury or incident.

Medical Consent: I authorize Evergreen staff to provide emergency medical care or seek professional treatment if necessary.

Image Use Policy

By checking this box, I acknowledge and agree to the Image Use Policy for Evergreen Premier Soccer Academy. I authorize Evergreen Premier Soccer Academy to use photographs, images, or videos of myself and/or my registered children on its website, social media, or marketing materials. I confirm that, as the parent or guardian, I am authorized to provide this consent for any individuals in the photographs or videos associated with this registration.

Image Release and Consent Authorization

By checking this box and registering for Evergreen Premier Soccer Academy programs, I authorize Evergreen Premier Soccer Academy to use my image and that of my registered children on its website, social media, or marketing materials without further approval. I understand these images may be downloaded globally once posted. By submitting the registration, I confirm that I am the legal parent/guardian of the child(ren) in this registration.

Evergreen Premier Soccer Academy

2025 Summer Camp Registration Form

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