REGISTRATION: Camper Name:
Centenary College
Address: City:
Women’s Soccer State:
Zip:
Telephone:
Girls Summer Camp II
Email: DOB:
Age:
School: Grade (9-12) T-Shirt Size YS YM S M L (Please Circle)
The
Centenary
Women’s
Soccer
Program is proud to introduce the 2016 Girls Summer Camp II for female soccer players grades 9 thru 12. The Camp will be directed by Head Coach Kevin
Girls Soccer Summer Camp II $ 175
Davies, Assistant Coach Chris Lawrence
Enclosed is my check for: $________
current players, and guest coaches.
Please make checks payable to: Centenary College Memo Line: Girls Soccer Summer Camp II A non-refundable deposit of $50 must be enclosed with the camp registration form. Full payment is due by June 20th, 2016. Any registration received after June 20th 2016 will require full payment.
Detach application and mail with check to:
Girls Soccer Summer Camp II Attn: Kevin Davies Centenary College 400 Jefferson Street
Players will be introduced to the Technical and Tactical components of the game that will give them some insight as to what is expected at the collegiate level. For more information or questions, contact Coach Davies. Kevin Davies Centenary College Head Women’s Soccer Coach Office: (908) 852—1400 ext: 2292
[email protected] Schedule of Events
General Camp Information
The Cyclone Girls Soccer Summer Camp II
2016 Girls Soccer Summer Camp II
is designed for high school age players in grade 9 thru 12.
9:00am - 2:00pm
Summer Camp will be held at the J.E.
$175.00
Reeves Turf Field at Centenary College, 715
It is important that players arrive in a timely manner in order for camp to start and end on time. It is also imperative that players are picked up in a timely fashion once each day of camp is done.
Grand Avenue, Hackettstown, NJ 07840.
Camp Checklist
Camp Schedule 9-10:30am Warm-Up / Technical work 10:45am– 12:15 pm Tactical work / Small-Sided games Lunch 12:15– 12:45pm
turf shoes or cleats
sneakers or indoor shoes
shin guards
water or a sports drink
Campers are responsible for bringing their own lunch each day to camp. For more information contact:
MEDICAL RELEASE FORM I herby give permission for ___________________________to participate in the Centenary College Girls Soccer Summer Camp II. I certify that my daughter is in good physical condition, has been examined within the last 12 months and no medical reason has been found that she can not participate in this clinic. Records show that all immunizations are up to date. I understand that she will be participating in rigorous play and activity. Centenary College Personnel have also been informed of any physical limitations, medications or prior conditions. The clinic will safeguard the health of my child but will not be responsible for accidents, injuries or sickness on the way to the clinic, during the clinic or on the way home. I agree that in the case of an accident involving my child while attending this clinic, and with full awareness that soccer is an activity that may involve risk or injury, I release Centenary College and the staff of Centenary College Girls Soccer Summer Camp II from any and all liability. I herby request that my child be granted admittance into the Centenary College Girls Soccer Summer Camp II and authorize the directors to act on my behalf in the event of an emergency requiring medical attention. I will assume responsibility for payment for any such attention and have provided current insurance information as requested. Player’s Name ________________________Age_____ Parent(s) Name(s) _____________________________ Parent(s) Daytime Phone ________________________ Home Phone _________________________________ Emergency Contact ____________________________
Kevin Davies, Head Women’s Soccer Coach at 908-852-1400 ext. 2292 or e-mail at
Relationship _________Contact Phone# ___________
[email protected] Policy #______________________________________
Insurance Carrier______________________________
Play 1-2pm
Previous Medical Conditions _____________________
Schedule is flexible
By Signing below, I agree to all the terms detailed above Parent/Guardian Signature ______________________
www.centenarycyclones.com
Date_______________