Newton Indoor Sports Center

Mini-Micro Soccer Coed: Ages 4, 5, 6, 7

 

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

 

………………………………….Application………………………………………

 

Child’s Name_______________________________________________ Age/DOB___________________

 

Parent/Guardian_________________________________________________________________________

 

Address_______________________________________________________________________________

 

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.)

 

 

Hold Harmless Release Form

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____________________

 

***Full Payment Required for Registration. Please make checks payable to: Newton Indoor Sports Center. Please mail payment with application to 125 Wells Ave., Newton MA 02459

 

 

Newton Indoor Sports Center 125 Wells Ave., Newton MA 02459 (617) 964-0400