Newton Soccer Camp Registration Form

Join us at Newton Athletic Park for a high-energy afternoon of soccer and community spirit. It’s your chance to learn from pro soccer stars and celebrate Surrey’s passion for the game! All proceeds go towards supporting soccer in the community.

Wednesday, June 10, 2026 | 3:30PM - 5:30 PM | Newton Athletic Park

Joining the action is easy! Please follow the steps below to secure your spot:

Fill out the form: Complete all required fields in the registration section below.
One per person: Please submit a separate form for each youth participating.
Deadline: Ensure your registration is submitted by June 3, 2026 to help us finalize numbers.

Section 1: Participant Information

First name

Last name

Age

Allergies, Food Allergies, Medical Conditions, or Medications

Emergency Contact Name

Emergency Contact Phone Number

Section 2: Parent/Guardian Information

Parent/Guardian Full Name

Relationship to Participant

Phone

Section 3: Liability Waiver & Assumption of Risk

I have clicked here to read the [MINOR PARTICIPATION, ASSUMPTION OF RISK & LIABILITY WAIVER]. I confirm I am the legal guardian, I freely assume all risks for my child, and I authorize Qualico to arrange emergency medical treatment if necessary.

Section 4: Photo & Video Consent

I have clicked here to read the [MINOR PHOTO & VIDEO CONSENT FORM]. I understand how my child’s images may be used.

Photo Consent

A: I PROVIDE CONSENT (No wristband required)

B: I DO NOT PROVIDE CONSENT (Child will be issued a Red Wristband at check-in)

Section 5: Supervision

I acknowledge that children aged 12 and under must be accompanied by a parent/guardian at all times.

Section 6: Final Acknowledgement & Signature

I confirm that I am the legal guardian of the participant, I have read this document in full, and I am signing voluntarily.

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Date picker

Ticket Price

General Admission$20