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July 25th-July 28th atFlannery Field in Scituate
Ages: 6-15School Hours:Full day 9:00am to 2:00pm
Tuition:Checks payable to: Sailors Soccer SchoolAll payments should be in full $160 per week Full Day (pay for first two children, and 3rd and up are FREE)*Price includes camp shirt.*Family & Team Discount Information: 1st family member $160 per week, 2nd family member, $160 per week, 3rd family member free, 4th family member free.Questions: team discounts, registration, and deposit information: [email protected]
Registration Form:PLEASE RETURN FORM AND PAYMENT TO:P.O. Box 561 Accord MA. 02018
PLAYERS NAME
ADDRESS
PIZ
YTIC
Home Phone/Cell Phone
MALE / FEMALE Age as of 1st Day of Camp (circle one)
E-MAIL ADDRESS
FIELD PLAYER (circle one) GOALKEEPER
POLICY HOLDER
CARRIER POLICY #
PLEASE LIST ANY ALLERGIES OR MEDICATIONS
T-SHIRT SIZE - YM, YL, YXL, AS, AM, AL (circle one)
PARENT SIGNATURE DATE
Administration Use Only:
Date # $ called contact
Emergency Phone #
Camp Directors: Ross Maki• Head Soccer Coach Scituate H.S. Boys Program• Teacher Scituate H.S• NSCAA Certified
Coaching Staff:Rob Williams • Head Coach Scituate High School Girls Soccer • Club Director - Mass City F.C.
Kate Casey • Head Coach Abington High School Girls Soccer • Teacher Abington High School
Kristen Oldenburg • Coach Scituate High School Girls Program • Teacher Scituate High School
Amy MacDonald • Teacher Jenkins Elementary School • Asst. Coach Scituate High School
Craig Parkins • Head Coach Scituate High School School • Teacher Scituate High School
Brian Johnson • Head Coach Duxbury Boys Soccer Program • Teacher Duxbury High School • Club Soccer Coach
Tess Weafer • Graduate/Former Division One Player University of Vermont
SCHEDULE9 a.m. - 10 a.m.Tactical & Technical Training Session
10 a.m. - 11 a.m.6 v 6
11 a.m. - 12 p.m.Micro Soccer
12 p.m. - 1 p.m. Lunch
1 p.m. - 2 p.m. 11 v 11
The undersigned parent or guardian understands that the applicant will engage in physical activity during this program, which contains an inherent risk of physical injury, and the undersigned assumes the risk, and hereby releases Scituate Soccer Club, all Scituate Soccer Club members, Sailors Soccer School, Scitaute High School, directors, and employees from any and all liability for personal injury arising out of the applicant's participation in the camp program. I hereby grant permission for my son/daughter to attend Sailors Soccer School and to be treated by a licensed physician or member of the athletic staff for any personal injury or mishap. I further agree to pay through my insurance company or otherwise for any medical treatment that may be necessary. I certify that my child is in good health and is able to participate in all camp activities.
July 25th-July 28th atFlannery Field in Scituate
Ages: 6-15School Hours:Full day 9:00am to 2:00pm
Tuition:Checks payable to: Sailors Soccer SchoolAll payments should be in full $160 per week Full Day (pay for first two children, and 3rd and up are FREE)*Price includes camp shirt.*Family & Team Discount Information: 1st family member $160 per week, 2nd family member, $160 per week, 3rd family member free, 4th family member free.Questions: team discounts, registration, and deposit information: [email protected]
Registration Form:PLEASE RETURN FORM AND PAYMENT TO:P.O. Box 561 Accord MA. 02018
PLAYERS NAME
ADDRESS
PIZ
YTIC
Home Phone/Cell Phone
MALE / FEMALE Age as of 1st Day of Camp (circle one)
E-MAIL ADDRESS
FIELD PLAYER (circle one) GOALKEEPER
POLICY HOLDER
CARRIER POLICY #
PLEASE LIST ANY ALLERGIES OR MEDICATIONS
T-SHIRT SIZE - YM, YL, YXL, AS, AM, AL (circle one)
PARENT SIGNATURE DATE
Administration Use Only:
Date # $ called contact
Emergency Phone #
Camp Directors: Ross Maki• Head Soccer Coach Scituate H.S. Boys Program• Teacher Scituate H.S• NSCAA Certified
Coaching Staff:Rob Williams • Head Coach Scituate High School Girls Soccer • Club Director - Mass City F.C.
Kate Casey • Head Coach Abington High School Girls Soccer • Teacher Abington High School
Kristen Oldenburg • Coach Scituate High School Girls Program • Teacher Scituate High School
Amy MacDonald • Teacher Jenkins Elementary School • Asst. Coach Scituate High School
Craig Parkins • Head Coach Scituate High School School • Teacher Scituate High School
Brian Johnson • Head Coach Duxbury Boys Soccer Program • Teacher Duxbury High School • Club Soccer Coach
Tess Weafer • Graduate/Former Division One Player University of Vermont
SCHEDULE9 a.m. - 10 a.m.Tactical & Technical Training Session
10 a.m. - 11 a.m.6 v 6
11 a.m. - 12 p.m.Micro Soccer
12 p.m. - 1 p.m. Lunch
1 p.m. - 2 p.m. 11 v 11
The undersigned parent or guardian understands that the applicant will engage in physical activity during this program, which contains an inherent risk of physical injury, and the undersigned assumes the risk, and hereby releases Scituate Soccer Club, all Scituate Soccer Club members, Sailors Soccer School, Scitaute High School, directors, and employees from any and all liability for personal injury arising out of the applicant's participation in the camp program. I hereby grant permission for my son/daughter to attend Sailors Soccer School and to be treated by a licensed physician or member of the athletic staff for any personal injury or mishap. I further agree to pay through my insurance company or otherwise for any medical treatment that may be necessary. I certify that my child is in good health and is able to participate in all camp activities.