ASA Summer Camp Flyer
American Soccer Academy Summer Camp 2015 Purpose: To provide an environment where soccer players from diverse backgrounds are allowed to reach their full potential psychologically, socially, and physiologically both on and off the field. Engage, challenge and inspire young athletes regardless of previous experience or ability.
When: U5-‐U9
June 8-‐12 6:00 -‐ 7:30pm
Advance Camp (U13-‐U18)
June 15, 16, 17 6:00 -‐ 8:30pm
U10-‐U12
June 22-‐26 6:00 – 8:00pm
Where: Hatbox Soccer Complex
(S. 34th and Airline Rd Muskogee, OK) website citymuskogee.org
Cost:
U5-‐U9 Advance Camp U10-‐U12
$60 (includes camp T-‐shirt). $75 (includes player evaluation) $65 (includes camp T-‐shirt).
Camp Director and Staff: Shawn Riley M.Ed.-‐ Head Coach Roughers Soccer, Physical Education Teacher MHS, MSC Director of Coaching, Oklahoma ODP Sr. Staff Coach, US Soccer Federation National Licensed, former College Coach. Michael Riley M.Ed. -‐ Assistant Coach Rougher Soccer, Nationally Certified Strength Coach, 23 years College Head Coach; former College Teacher Other Staff and Guest Speakers-‐ TBA Camp Contact Shawn Riley 405-‐431-‐6684 [email protected] [email protected] Address Payment to: Muskogee Soccer Club PO Box 3725, 74402 www.muskogeesoccerclub.com www.facebook/MuskogeeSoccerClub
Registration Form Last Name:__________________________
First Name:__________________________
Players Age:________________
School Name: ________________________
Soccer Experience (Years):______________ Emergency Contact:____________________
Parent Contact:_______________________
Current Team: ________________________
Current Position: _____________________
Shirt Size (Circle One)
YM
YS
YL
S
M
L
XL
Position most interested to play (Check any and all that apply): GK Forward Defender Midfielder Current Soccer Goal:_____________________________________________________________ Players are required to bring ball, cleats, tennis shoes, shin guards, water, and appropriate athletic/ Gk gear. MEDICAL LIABILITY RELEASE I hereby give permission to the Muskogee Soccer Camp Staff to administer any medical attention that is deemed necessary to my player/child in an event that an injury may occur while participating in the camp. I release the Camp, the staff, and Muskogee Soccer Club from any claims or future claims resulting from injury my player/child may sustain by attending. Further, I acknowledge that there are no undisclosed medical issues that need to be brought to the staff’s attention. Parent/Guardian:____________________________________ Date:_______________________
