Warrior Youth Soccer Camp
Parent(s)/Guardian(s): ______________________________ Address:______________________ ______________________________ Contact Information: Home Phone: _______________ Cell Phone: _______________ Work Phone: _______________ Email: ____________________ Emergency Contact: (If parents/guardians cannot be reached):
Name
CAMP FEES $85.00 per player for registrations received by June 15. Late registrations are $95.00 Make checks payable to “Warrior Youth Soccer Camp” Registrations received after July 15 cannot guarantee a spot in the camp or a team shirt.
I understand that I am responsible for providing transportation to and from the camp. I also understand that it is my responsibility to provide insurance coverage for the above player.
______________________________ Parent/Guardian signature
____________ Date
Integer egestas orci quis lorem feugiat adipiscing.
August 3-6, 2015 8:00 am – 11:00 am
Susquehannock HS Turf Fields
Phone Number Any medical conditions and/or allergies: ______________________
Warrior Youth Soccer Camp
Mail registration and payment to: Brett Maxwell 17355 Russett Farm Drive. Shrewsbury, PA 17361
You will receive an email confirmation upon receipt of application and payment.
Coaching Staff Suspendisse Brett Maxwell potenti.
-Head Coach of Susquehannock High School Boys’ Varsity Team -7-Time YAIAA Coach of the Year -14 Years experience coaching boys and girls high school and club soccer -NSCAA Advanced Regional License -Former Susquehannock High School and West Chester University soccer player
Matt Zimmerman -Head Coach of Dallastown High School Boys’ Varsity Team -18 Years experience coaching boys and girls high school and club soccer -4-Time YAIAA Coach of the Year -NSCAA National License
Sarah Waybright -Head Coach of West York High School Girls’ Varsity Team -8 Years experience coaching high school soccer -Former YAIAA Coach of the Year -Former Kutztown University soccer player Additional camp staff will consist of other area high school coaches, former and current Warrior soccer players.
Come join the 11 time YAIAA Champions and the Susquehannock soccer coaching staff for a fun week of building soccer skills, competing in soccer tournaments, and perfecting your game.
Registration Form Camper’s Name: ____________________________
Male
Female
T-shirt Size: Please circle Campers will have the opportunity to improve their YS YM YL AS AM AL game and learn new skills with individual and group practice of Birth Date: ______/______/______ passing, dribbling, shooting, - Donec vehicula mauris in est defensive principles, movement Age: __________ off the ball, 1st vs. 2nd attackers, 1st vs. 2nd defenders, team Grade as of September 2015 shape, decision-making and other age appropriate skills. 1
Our goal is for every camper to go home each day of camp and say “I learned something new today, I was challenged today, I had fun today.” In addition, the camp will provide: Specialized GK training Tournament play Skill competitions Awards and prizes Camp T-shirt Evaluation forms
2 3 4
5
6
7 8
Playing Experience Less than 1 year of organized soccer 1-3 years of organized soccer More than 3 years of organized soccer Are you interested in Goal Keeper training? Yes No
Name
CAMP FEES $85.00 per player for registrations received by June 15. Late registrations are $95.00 Make checks payable to “Warrior Youth Soccer Camp” Registrations received after July 15 cannot guarantee a spot in the camp or a team shirt.
I understand that I am responsible for providing transportation to and from the camp. I also understand that it is my responsibility to provide insurance coverage for the above player.
______________________________ Parent/Guardian signature
____________ Date
Integer egestas orci quis lorem feugiat adipiscing.
August 3-6, 2015 8:00 am – 11:00 am
Susquehannock HS Turf Fields
Phone Number Any medical conditions and/or allergies: ______________________
Warrior Youth Soccer Camp
Mail registration and payment to: Brett Maxwell 17355 Russett Farm Drive. Shrewsbury, PA 17361
You will receive an email confirmation upon receipt of application and payment.
Coaching Staff Suspendisse Brett Maxwell potenti.
-Head Coach of Susquehannock High School Boys’ Varsity Team -7-Time YAIAA Coach of the Year -14 Years experience coaching boys and girls high school and club soccer -NSCAA Advanced Regional License -Former Susquehannock High School and West Chester University soccer player
Matt Zimmerman -Head Coach of Dallastown High School Boys’ Varsity Team -18 Years experience coaching boys and girls high school and club soccer -4-Time YAIAA Coach of the Year -NSCAA National License
Sarah Waybright -Head Coach of West York High School Girls’ Varsity Team -8 Years experience coaching high school soccer -Former YAIAA Coach of the Year -Former Kutztown University soccer player Additional camp staff will consist of other area high school coaches, former and current Warrior soccer players.
Come join the 11 time YAIAA Champions and the Susquehannock soccer coaching staff for a fun week of building soccer skills, competing in soccer tournaments, and perfecting your game.
Registration Form Camper’s Name: ____________________________
Male
Female
T-shirt Size: Please circle Campers will have the opportunity to improve their YS YM YL AS AM AL game and learn new skills with individual and group practice of Birth Date: ______/______/______ passing, dribbling, shooting, - Donec vehicula mauris in est defensive principles, movement Age: __________ off the ball, 1st vs. 2nd attackers, 1st vs. 2nd defenders, team Grade as of September 2015 shape, decision-making and other age appropriate skills. 1
Our goal is for every camper to go home each day of camp and say “I learned something new today, I was challenged today, I had fun today.” In addition, the camp will provide: Specialized GK training Tournament play Skill competitions Awards and prizes Camp T-shirt Evaluation forms
2 3 4
5
6
7 8
Playing Experience Less than 1 year of organized soccer 1-3 years of organized soccer More than 3 years of organized soccer Are you interested in Goal Keeper training? Yes No
