Soccer ID Clinic

Saturday, May 9, 2026 at 9:00 AM until 3:30 PMEastern Daylight Time UTC -04:00

Hollins University
7916 Williamson Rd
Roanoke, VA 24020
United States

Camper's Information

First Name

Last Name

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Student's Cell

Home Phone

Student's Preferred Email

Parent/Guardian Information

Relationship

First Name

Last Name

Phone Number

School Information

Grade

High School Name

Student Type

First Year

Additional Questions

Years of soccer played?

Current team name?

Current position?

T-shirt size?

Any food allergies we should be aware of?

How did you hear about this camp?

Payment

Method of payment:

I will mail a check to Hollins University, Box 9707, Roanoke, VA 24020

I will pay by credit card

Pay Fee

Amount Due
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Amount Due

Transaction Fee

Dependent on selected payment type

Total

Dependent on selected payment type