Chicago Inter Soccer 2018 Open College Camp

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Chicago Inter Soccer 2018 Open College Camp June 11th-15th, 5:00pm to 8:30pm Brent Hassert Park, Lockport IL Each camper will receive a camp t-shirt Please include t-shirt size ( )

This is the another opportunity Chicago Inter Soccer Club offering to the U14-18 players to expose, learn, get training and playing direction from Division 1, Division 2, Division 3 and NAIA College coaches.

Camp Registration Form First & Last Name: DOB:

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Address: City:

Zip:

Fathers Name: Mothers Name: Home Phone: Cell Phone: E‐mail:

Please fill out sign and mail in Registration Form with your payment to:

Please fill out, sign and mail in camp form with the payment to the address below: Chicago Inter Soccer 14007 South Bell Rd Mailbox # 132 Homer GlenIL 60491 For any questions or information's contact us at: [email protected]

Visit us at: www.chicagointersoccer.com

Statement of Liability and Understanding: I hereby authorize the staff of the Chicago Inter Soccer Club, their agents, or counselors to act for me according to their best judgment in any emergency requiring medical treatment and hold harmless the coaching staff of any and all liabilities, injuries, or illness incurred while at summer camp training sessions. Parent Signature: Print Name: Date: