San Francisco Vikings Soccer Club, Inc.
Vikings white
Founded 1923
2521 Judah Street
San Francisco, CA 94122-1437
Tel: (415) 753-3111 / Fax: (415) 753-2555
www.sfvsc.org

SF Vikings Summer Camp Application 2012

How to Register

Here is how you register your child for summer camp:

1. Choose the week(s)/session(s) that you want your child to be in camp.  Also check "Extended Care" if you want your child to be in extended care 8:30am-9:00am and/or 4:00pm-6:00pm.

2. Fill in Camper and Parent/Guardian information in designated fields below.

3. Fill out the Authorization of consent of Treatment to Minor.  The first date field pertains to the date the authorization should be valid until (a date later than your child's last date of camp in 2011).  The second date field is today's date.  Your "electronic signature" is just your typed name.

4. Pay - when you click "continue" after completing the form you will be taken to a new window where your payment, including any discount, has been calculated and you will see a PayPal button.  When you click this button you will be taken to the PayPal secure site where you can pay either through your PayPal account or by credit card - for the credit card option you see a link below the PayPal option saying "Don't have a PayPal account? Pay with debit or credit card as a PayPal guest". 

Camp info:

Location:
 South Sunset Fields, 40th Avenue and Wawona Street.

What to bring:  Lunch, snack, water, hat, sunscreen, shinguards, cleats or athletic shoes.

1. Choose Camps

Fees

Full day camp: $275/week) 

Half day camp: $175/week)

Extended care: 8:30am - 9:00am and 4:00pm - 6:00pm - $50/week.

Sibling discount is 10% off for second and any additional children.

Late pick-up fee: $10 per 10 minute intervals per family.

2. Camper Information

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3. Authorization of Consent of Treatment to Minor

I, (We), the undersigned parent(s)/guardians of applicant/player, a minor, do hereby authorize San Francisco Vikings Soccer Club, as agent(s) for the undersigned to consent to any x-ray examination, anesthetic, medical or surgical diagnosis or treatment and hospital care, which is deemed advisable by, and to be rendered under the general or special supervision of any physician and surgeon licensed under the provisions of the medicine Practice Act on the Medical Staff of any accredited hospital treatment is rendered at the office of said physician or at said hospital.  It is understood that they authorization is given in advance of any specific diagnosis, treatment or hospital care being required, but is give to provide authority and power on the part of our aforementioned agent(s) to give specific consent to any and all such diagnosis, treatment or hospital care. 
unless sooner revoked in writing.
* Indicates Response Required