Camp Signup

Parent Name
First Last
How did you hear about our camps?
Waiver*
I agree to the Terms of Waiver
I do hereby for myself, my heirs, and assigns, waive and release any and all claims to damage against the Baltimore Blast and any camp locations and its assigns or authorized representatives conducting camp as a result of any or all injuries incurred by traveling to or from, or while participating in the camp.
How Do You Want To Pay?*
- Pay By Credit Card Now
- Pay By Check
- Pay by Payment Plan
Please send non-refundable full payment to:
Baltimore Blast Summer Soccer Camps, 7006 Golden Ring Road, Baltimore, MD 21237
Payment plan now available for camps.
We are offering a 2 payment plan. Total must be paid in full 2 weeks prior to the start of your scheduled camp. Please submit this form, and contact Mark Meszaros @ 443-559-0711.
Total
$0.00
Coupon
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
CAPTCHA

Camper Information