Program Description: ½ hour Clinic (teaching skills & technique) and ½ hour Game Situation
· 10 week session: SATURDAY 10 a.m. (4+5 yrs.), 11 a.m. (6+7 yrs.)
SUNDAY 9 a.m. (4+5 yrs.), 10 a.m. (6+7 yrs.)
· Cost: $150.00 per player (includes T-shirt)
· Registrations accepted for an Individual Basis: First Come, First Serve
· Teams are formed with consideration of age & skill
Session #1 Begins Sat, Nov. 10, 2007
Session #2 Begins Sat, Jan. 19, 2008
****All players must wear sneakers and shin-guards & bring a soccer ball for clinic work
Child’s Name_______________________________________________ Age/DOB___________________
City______________________________________________ State_______________ Zip______________
Home Phone # _________________________________ Work Phone # ____________________________
Emergency Contact ____________________________________ Phone # __________________________
Please circle sessions attending: 1 2 Day:_______ Time:________
Please rate your child’s ability (from choices below): ____________________________
Novice: Little or no formal experience.
Intermediate: some formal experience, league, clinic, camp, etc.
Advanced: has formal experience and utilizes and understands skills
If possible, please place my child with _______________________________________________________
(We will do our best to place your child with a friend, relative, etc. However, this can not be guaranteed.)
I, the parent/guardian of the above applicant, hereby assume all risk and hazards incidental to participation in any and all league/clinic activities during the current season. I hereby waive, release, absolve, indemnify, and agree to hold harmless the organizers, sponsors, supervisors, participants, and corporation owners of the premises for any claim arising out of injury to my child.
Parents’ Signature_____________________________________________ Date____________________
Required for Registration. Please make checks payable to: