Soccer camps

Soccer Skills Camp Registration Form

 

Please select the weeks of camp you would like your child to attend.

¨   World Cup and Goalkeeping: June 14 – 18: Overall skills training and games

¨   Pele Foot Skills: June 21—25:Improve foot skill, dribbling, first touch, and  pulling moves

¨   Goal Scoring Glory and Goalkeeping: June 28 – July 2: Shooting and defending shots

¨   Air Balls: July 12– 16: 50/50 balls, taking the ball out of the air, headers, volleys

¨   Dynamic Defending and Goalkeeping: July 19– 23: Defending

¨   Team Player: July 26– 30: Passing, making runs, team shape, team functions

¨   World Cup and Goalkeeping: August 2-6: Overall skills training and games

   Ages 6-12

Please fill out completely-

Name 1: ______________________________________________ Date of Birth: _________________ Age: _______

Name 2: ______________________________________________ Date of Birth: _________________ Age: _______

Name 3: __________________________________­­­____________ Date of Birth: _________________ Age: _______

Address: _______________________________________________________________________________________

City: ________________________________________________________ State: ______ Zip: __________________

Parent’s/Guardian’s Name: ________________________________________________________________________

Email: __________________________________________ Cell Phone: ____________________________________

Emergency Contact:______________________________________________________________________________

Please read the following information carefully. No child will be admitted into Soccer Skills Camp unless either a parent or legal guardian signs this form. By signing this form, you are releasing all claims for injuries that the participant may sustain.

I agree to assume full risk and to waive and release all claims I and/or the participant may have against All star sports arena. This release also includes ASSA agents, servants and employees from any such claims resulting from injury, responsible for all personal medical insurance and that the participant’s family must cover all medical cost incurred. I also understand that every precaution is taken to protect the safety of each participant. I agree to emergency treatment by a physician or hospital in the event that the emergency contact listed cannot be reached.

Parent (or legal guardian) signature: _______________________________________ Date:___________

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FOR OFFICAL USE

Amount of payment: ________________________Date: ____________

Sessions Enrolled:__________________________________

PAYMENT METHOD

¨ Cash  ¨ Check #____________

¨ Credit Card # _____________________________________________________

Expiration Date: __________ 

Individual $65 per week