Nordonia HS Boys & Girls Youth Soccer Camp
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Camp Dates: June 24-26 K-4 : Friday 5-6:30p.m. Sat & Sun 9:00-11:30a.m. @ Nordonia HS th 5-8 : Friday 6:30-8p.m. Sat & Sun 12:30-3:00p.m. @ Nordonia HS th
Cost: $60.00
Camp T-shirt included for this camp when registration is received by 6/9/16! Camp Staff: Nordonia HS coaches & current players
Contact: Jason Stepp (330) 283-1682 or Les Gicei (216) 470-0795 Email:
[email protected] Same day registration available with prior notice of participation.
Please bring water bottle, shin guards and ball!
-------------------------------------------------------------------------------------------------------------------------Checks payable to:
Nordonia Athletic Department
Please send completed registration and check to: Nordonia Youth Soccer Camp c/o ABL Products Incorporated 3736 Ridge Road Cleveland, OH 44144 Attn: Les Gicei
Name:_________________________________________ Current Grade:____________________ Home phone:_____________________ Camp T-shirt size (youth sizes) ⃝ Xs ⃝ S ⃝ M ⃝ L ⃝ Other ____________________________ Emergency Info: Guardian(s): __________________________________________Email:____________________________________ Contact phone(s):______________________________________Cell______________________________________ Emergency Contact: ___________________________________________ Phone(s): ____________________________________________________ I hereby authorize any medical treatment and transportation deemed necessary to receive that treatment which may be advised or recommended by an attending physician for ____________________________________ (name of player) while at the Nordonia Soccer Camp training. I also authorize the said player to participate in the activities of the training, to include the specific sport activities and recreational activities conducted during the training. I understand that the player will engage in physical activities during the program, which contains an inherent risk of physical injury, and I assume the risk, and release of Nordonia soccer camp, Jason Stepp, Les Gicei, Nordonia High School, and any agents of Nordonia Soccer Camp from any and all liability for personal injury arising out of the player’s participation in the training program. I also understand that the player is responsible for all personal belongings and equipment and that the Nordonia Soccer Camp will not replace or reimburse any lost or stolen items. There are no refunds for this camp. Signed: _________________________________________Date___________ Insurance Company:_____________________________________________
All proceeds benefit both the Boys & Girls soccer programs at Nordonia High School!