2015
MINERS SOCCER ACADEMY GENERAL INFORMATION BENEFITS UTEP Miners’ Soccer Academy is honored to supply each camper with a UTEP Miners’ Soccer Academy Dri-fit T-shirt and a soccer ball as part of your registration fee. Sign up for the first soccer camp at full price and receive a $20 discount on subsequent 2015 soccer camps. Sign up as a team to receive a $20 discount (5 player minimum).
CHECK-IN Will begin one hour prior to starting time at University Soccer Field.
CANCELLATION POLICY Cancellation deadline is one week before the start of camp. Refunds will be issued less a $15 processing fee. Refunds will not be issued, for any reason, after the cancellation deadline. Purchase orders will be not be accepted as payment.
REGISTRATION INFORMATION
CAMP INFORMATION For more information regarding the Soccer Academy call (915) 747-7185.
Kelly Hall, Suite 214 500 W. University Ave. El Paso, TX 79968-0602
Each camper is covered by accident insurance. A student participation form must be completed (both sides) for each registrant. The form is available online at ppp.utep.edu. You may also call (915) 747-5142 to have this form sent to you.
A Unit of Extended University
PARTICIPATION FORMS
The University of Texas at El Paso
Professional and Public Programs Kelly Hall, Suite 214 500 W. University Ave. El Paso, TX 79968-0602
Professional & Public Programs
Please send registration and payment to:
2015 UTEP MINERS SOCCER AND SPLASH CAMP Tracking Code: 15SSOCCER
To register your camper, contact Professional and Public Programs at (915) 747-5142 to ensure the best service possible!
2015
MINERS SOCCER ACADEMY
Join Coach Kevin Cross and his staff at their awesome all-age summer camps!
2015 MINERS SOCCER ACADEMY
FIRST
MINERS SOCCER ACADEMY
LAST
DOB
MALE
AGE
S
M
XL
L
S
ADULT SHIRT SIZE
L
M
FEMALE
XL
TEAM / CLUB NAME SIGN UP AS A TEAM TO RECEIVE A $20 DISCOUNT (5 PLAYER MINIMUM)
PARENT / GUARDIAN INFORMATION FIRST
LAST
ADDRESS
CITY
DAY PHONE
EVENING PHONE
STATE
UTEP MINERS' SOCCER AND SPLASH CAMP: (BOYS AND GIRLS AGES 5 TO 12)
CHILD SHIRT SIZE
ZIP
IN CASE PARENT / GUARDIAN CANNOT BE REACHED, CONTACT:
(BOYS AND GIRLS AGES 7 TO 18)
This is the perfect summer camp for active kids-all levels welcome! First, campers will develop a strong technical base. Topics taught are ball control, dribbling, heading, passing, shooting, juggling and defending. Then, campers will get to splash around in our sprinklers to cool off from all of their hard work. You will receive the best instruction available and have fun playing the game you love! Bring your water bottle, cleats or tennis shoes.
Instructor(s) Kevin Cross
Course Code: Meets: Time: Fees:
15SUAC1300 June 15-18, 2015 M, Tu, W and Th from 5:30 to 8:30 PM On or before 6/8: $125 On or after 6/9: $140 Team discount on or before 6/8: $105 Team discount on or before 6/9: $120 University Soccer Field
Course Code: Meets: Time: Fees:
15SUAC1301 June 15-18, 2015 M, Tu, W and Th from 5:30 to 8:30 PM On or before 6/8: $125 On or after 6/9: $140 Team discount on or before 6/8: $105 Team discount on or before 6/9: $120
Location:
University Soccer Field
15SUAC1310 July 20-23, 2015 M, Tu, W and Th from 5:30 to 8:30 PM On or before 7/13: $125 On or after 7/14: $140 Team discount on or before 7/13: $105 Team discount on or before 7/14: $120 Returning campers of 2015 camps $20 off University Soccer Field
Course Code: Meets: Time: Fees:
15SUAC1311 July 20-23, 2015 M, Tu, W and Th from 5:30 to 8:30 PM On or before 7/13: $125 On or after 7/14: $140 Team discount on or before 7/13: $105 Team discount on or before 7/14: $120 Returning campers of 2015 camps $20 off
WORK PHONE
CHOOSE APPROPRIATE CAMP:
CELL PHONE
Location:
University Soccer Field
Location: Course Code: Meets: Times: Fee:
LAST
HOME PHONE
SOCCER AND SPLASH • JUNE 15-18 • COURSE: 15SUAC1300 SOCCER AND SPLASH •JULY 20-23 • COURSE: 15SUAC1310 ADVANCED CAMP •JUNE 15-18 • COURSE: 15SUAC1301 ADVANCED CAMP • JULY 20 - 23 • COURSE: 15SUAC1311
METHOD OF PAYMENT (WE DO NOT ACCEPT PURCHASE ORDERS) $
Location:
CARRIE CROSS
CHECK - PAYABLE TO UTEP
CREDIT CARD
VISA
ACCOUNT NUMBER
CARDHOLDER NAME (PRINT)
X SIGNATURE
STATE
Come and develop into the soccer player you have always dreamed of becoming! This camp is opened to all players but is designed for the advanced player and will be coached by the top local club and high school coaches and UTEP staff. The camp will focus on advanced tactical topics. Bring your water bottle, cleats or tennis shoes.
AREA COACHES
CAMP STAFF
TOTAL AMOUNT ENCLOSED
DRIVER’S LICENCE NUMBER
UTEP MINERS' SOCCER ACADEMY: ADVANCED CAMP:
Instructor(s) Kevin Cross
E-MAIL
FIRST
Visit our website at ppp.utep.edu for Early Bird or Summer Kickoff discount dates.
2015
REGISTRATION FORM (PLEASE PRINT)
TEXAS A & M STARTING DEFENDER, FORMER FRANKLIN HIGH SCHOOL GIRLS VARSITY COACH EXP
MASTERCARD EXP
DISCOVER
AARON HERNANDEZ
AMEX
EL PASO STORM CLUB COACH, CHAPARRAL HIGH SCHOOL BOYS VARSITY COACH
KEVIN CROSS
HEAD COACH
HEATHER CLARK ASSISTANT COACH
ASHLEIGH DECKER ASSISTANT COACH
TORI MARTYN GRADUATE ASSISTANT COACH
ROBERTO TUCKER
EL PASO XTREME SOCCER CLUB DIRECTOR OF COACHING
GIBBY WIDNER
EAST LAKE HIGH SCHOOL GIRLS VARSITY COACH
JOSE VEGA
NEW MEXICO RUSH SOUTHWEST SOCCER CLUB COACH
UTEP SOCCER PLAYERS