2016 Hilliard Bradley-Darby- Davidson Boys Soccer Youth Camp
$65 after June 15th
$60 before June 15th
Parent Cell Phone #2
Parent Cell Phone #1
Parent’s Name:
Email Address:
Home Phone:
City/State/Zip:
Address:
Name:
(on Front)
Filled Out for each Camper
Galloway, Ohio 43119
651 Rothmoore Dr.
Hilliard Boys HS Soccer
Please return this form with payment to:
Make Checks Payable to: Hilliard Boys HS Soccer
Consent Form Must be Signed
Mandatory Parental
YS YM YL AS AM AL
Method of Payment: Cash or Check (circle one)
T-shirt Size: (circle one)
2015-2016 Grade:
2015-2016 School attended:
Hilliard HS Summer 2016 Boys Youth Soccer Camp
2016 Hilliard Bradley-DarbyDavidson Boys Soccer Youth Camp
Camp Date
July 5,6,7 2016 6:00pm-8:00pm
Register 5:30pm Tues. 5th
BOYS ONLY Grades 1st thru 8th
Location Spindler Soccer Complex 2121 Spindler Rd. Hilliard, Ohio Cost
Before June 15th - $60 After June 15th - $65
Hilliard Camp Staff Dan Hoover, Hilliard Davidson Varsity Head Coach • • • •
2011,13,15 OCC Coach of the year 2015 Div. I State Runner-up D.O.C. Club Ohio Hilliard Holds USSF National D license
Nate Byrum, Hilliard Bradley Varsity Head Coach • - USSF National C License • - NSCAA Goalkeeping Diploma • - B.A. & M.S. in Sport Management • - 5 years club & high school coach Kyle Reichle Hilliard Darby Varsity Head Coach
Camp Highlights In addition to the high school coaching staff, the camp counselors will include HS players from the 3 Hilliard soccer teams and alumni. Each camper will receive individual attention as well as small group instruction in order to improve their soccer skills. All Campers receive:
• Camp T-Shirt
Parental / Guardian Consent and Waiver (Please sign and enclose with the camp registration and payment) I hereby give my consent for my child(ren) to attend the 2016 Hilliard High Schools Boys Youth Soccer Camp. By signing below, I hereby waive, release and discharge the Hilliard City Schools, the Department of Athletics, the Camp Directors, and all employees and workers of the camp from any and all injuries and damages, including but not limited to medical or dental expenses, sustained by child(ren) as a result of attending any camp session. Child(ren) Name(s)
• Competition Prizes Campers will be grouped according to age and ability.
Emergency Phone Numbers
Camp Points of Emphasis: Coerver Ball Control
Name:
and Foot skills, creativity, confidence and conditioning, small sided games, competitions and FUN!
Phone Number: Name:
• • • •
• • •
USSF National E License 6 years high school coach Over 20 years playing/coaching ACE Certified Personal Trainer
Camp Dates and Time July 5th, 6th, 7th 2016 6pm-8pm Registration 5:30pm on July 5th
Phone Number: Parent/Guardian Signature Please Print Name
Cost Register before June 15th - $60
Date:
Register after June 15th - $65 Make Checks payable to: Hilliard Boys HS Soccer 651 Rothmoore Dr. Galloway, Ohio 43119
The opinions, products, activities and/or services of this organization are neither sponsored nor endorsed by the Hilliard City School district. Proceeds from this camp will benefit all 3 High School soccer programs.
$60 before June 15th
Parent Cell Phone #2
Parent Cell Phone #1
Parent’s Name:
Email Address:
Home Phone:
City/State/Zip:
Address:
Name:
(on Front)
Filled Out for each Camper
Galloway, Ohio 43119
651 Rothmoore Dr.
Hilliard Boys HS Soccer
Please return this form with payment to:
Make Checks Payable to: Hilliard Boys HS Soccer
Consent Form Must be Signed
Mandatory Parental
YS YM YL AS AM AL
Method of Payment: Cash or Check (circle one)
T-shirt Size: (circle one)
2015-2016 Grade:
2015-2016 School attended:
Hilliard HS Summer 2016 Boys Youth Soccer Camp
2016 Hilliard Bradley-DarbyDavidson Boys Soccer Youth Camp
Camp Date
July 5,6,7 2016 6:00pm-8:00pm
Register 5:30pm Tues. 5th
BOYS ONLY Grades 1st thru 8th
Location Spindler Soccer Complex 2121 Spindler Rd. Hilliard, Ohio Cost
Before June 15th - $60 After June 15th - $65
Hilliard Camp Staff Dan Hoover, Hilliard Davidson Varsity Head Coach • • • •
2011,13,15 OCC Coach of the year 2015 Div. I State Runner-up D.O.C. Club Ohio Hilliard Holds USSF National D license
Nate Byrum, Hilliard Bradley Varsity Head Coach • - USSF National C License • - NSCAA Goalkeeping Diploma • - B.A. & M.S. in Sport Management • - 5 years club & high school coach Kyle Reichle Hilliard Darby Varsity Head Coach
Camp Highlights In addition to the high school coaching staff, the camp counselors will include HS players from the 3 Hilliard soccer teams and alumni. Each camper will receive individual attention as well as small group instruction in order to improve their soccer skills. All Campers receive:
• Camp T-Shirt
Parental / Guardian Consent and Waiver (Please sign and enclose with the camp registration and payment) I hereby give my consent for my child(ren) to attend the 2016 Hilliard High Schools Boys Youth Soccer Camp. By signing below, I hereby waive, release and discharge the Hilliard City Schools, the Department of Athletics, the Camp Directors, and all employees and workers of the camp from any and all injuries and damages, including but not limited to medical or dental expenses, sustained by child(ren) as a result of attending any camp session. Child(ren) Name(s)
• Competition Prizes Campers will be grouped according to age and ability.
Emergency Phone Numbers
Camp Points of Emphasis: Coerver Ball Control
Name:
and Foot skills, creativity, confidence and conditioning, small sided games, competitions and FUN!
Phone Number: Name:
• • • •
• • •
USSF National E License 6 years high school coach Over 20 years playing/coaching ACE Certified Personal Trainer
Camp Dates and Time July 5th, 6th, 7th 2016 6pm-8pm Registration 5:30pm on July 5th
Phone Number: Parent/Guardian Signature Please Print Name
Cost Register before June 15th - $60
Date:
Register after June 15th - $65 Make Checks payable to: Hilliard Boys HS Soccer 651 Rothmoore Dr. Galloway, Ohio 43119
The opinions, products, activities and/or services of this organization are neither sponsored nor endorsed by the Hilliard City School district. Proceeds from this camp will benefit all 3 High School soccer programs.
