online registration Available!
SOCCER CAMP Registration Form Summer 2017
www.rockfordraptors.org
Player Name:_________________________ M or F
DOB:_______________
School Grade:____________ Shirt Size:_________
Address:_____________________________________________ City:_________________________________ Zip:____________ Parent(s):_____________________________________________ H Phone:____________________ C Phone:_________________ Email:_________________________________________________ Session: Half Day (Please Choose) █ June 5 - June 8
█ June 26 - June 29 (Dixon)
█ June 19 - June 22
█ July 17- July 20
2017
I hereby give permission and certify that my child is in good health and able to participate in all activities. I hereby release Raptors Soccer Club, coaches and staff and all other identities associated with the Academy of all liability for any injury or illness incurred by child during the camp.
Signature:___________________________
Date:___________
Rock River Valley Y Member # __________________________ (if applicable) Rock River YMCA members receive $10 off registration fee!
Please cut out and mail registration & payment to:
Rockford Raptors 8800 E. Riverside Blvd Loves Park, IL. 61111
online registration Available! www.rockfordraptors.org
camp coaches: Eduardo Garza
Nick Roman
Rockford Raptors FC Camp Director
Rockford Raptors FC Director Of Goalkeeping
• USSF “B” License
• USSF “C” License
• Former Collegiate Head Coach (Ashford University)
• Former Collegiate Head Coach (Rock Valley College, Ashford University)
(Located at Meadows Park)
Ages:
Locations:
(Located at Sportscore 2)
4 - 13 years old
Sportscore 2
Camp Prices:
8800 E. Riverside Blvd. Loves Park, IL 61111
$105 Half Day
Meadows Park Soccer Fields
Many
Sessions Available
throughout The Summer! June 5 - June 8 June 19 - June 22 June 26 - June 29 July 17 - July 20
(Located at Sportscore 2) (Located at Sportscore 2)
Raptors Summer Soccer Camps are designed to improve the players all-around game. This camp will maximize touches to improve technical ability. We will teach attacking/ defending principles by introducing simple tactics with fun, challenging, and competitive activities and games.We will have professionally licensed coaches that will use a developmentally appropriate curriculum that focuses on improving skills and techniques in a game-approach environment. The camp will be divided by age and ability which will allow every player the opportunity to improve and have fun.
1478 Washington Ave. Dixon, IL 61021
Camp hours: 9am - 12pm (Rockford) 1pm - 3pm (Dixon)
What to Bring: Questions? contact:
Eddie:
[email protected] • 815-708-9201
Nick:
[email protected] • 815-601-2942
Snacks Soccer cleats Shin guards Soccer ball Water bottles w/ water Sunscreen
online registration Available! www.rockfordraptors.org