EAST HADDAM SOCCER CLUB High School Summer Program â 2017
EAST HADDAM SOCCER CLUB High School
$110 Fee Includes:
Summer Program – 2017
Weekly Wednesday training sessions with professional coach provided by UK International. 6pm to 8pm - June 21st through August 9 th . (No Session 7/5) Scrimmages against alumni, men’s team or intra-squad. 6pm to 7:30pm
3 Day evening camp with UK International coach. 6pm to 8pm (Before official high school practices begin on 8/24) 6 games in the high school summer league.** Games start in early July. Attendance to all events is not expected. We know kids work, go on vacations or may simply need a day off from time to time.
**The same grey game jerseys used last summer will be used. There is an additional $10 fee if a jersey is needed. Player Information:
Last Name _____________________________ First Name ________________________ MI _________
Jersey Size______
Street ___________________________________ City _________________________ Zip__________ Phone _____________________________ Gender _______ DOB _____________ Grade _______
Medical History: If your child has any medical conditions that the coaching staff should be aware of (allergies, asthma, etc.) please indicate: ________________________ __________________________________________
Recognizing the possibility of physical injury associated with soccer and in consideration for East Haddam Soccer Club (EHSC) and its affiliates accepting the registrant for its soccer programs and activities (the “Programs”), I hereby release, discharge and /or otherwise indemnify EHSC its affiliated organizations and sponsors, their employees and associated personnel, including the owners of fields and facilities utilized for the Programs, against any claim by or on behalf of the registrant’s participation in the Program and/or being transported to or from the same which transportation I hereby authorize. My child has received a physical examination by a physician and has been found physically capable of participating in the Programs. Therefore, I grant EHSC and/or its coach’s permission to act as my surrogate for my child in the area of obtaining medical treatment by a doctor of medicine or dentistry. I also assume the financial responsibility for any medical treatment for my child.
Parent/Guardian Signature: _____________________________________
Date: ________________
$110 Fee Includes:
Summer Program – 2017
Weekly Wednesday training sessions with professional coach provided by UK International. 6pm to 8pm - June 21st through August 9 th . (No Session 7/5) Scrimmages against alumni, men’s team or intra-squad. 6pm to 7:30pm
3 Day evening camp with UK International coach. 6pm to 8pm (Before official high school practices begin on 8/24) 6 games in the high school summer league.** Games start in early July. Attendance to all events is not expected. We know kids work, go on vacations or may simply need a day off from time to time.
**The same grey game jerseys used last summer will be used. There is an additional $10 fee if a jersey is needed. Player Information:
Last Name _____________________________ First Name ________________________ MI _________
Jersey Size______
Street ___________________________________ City _________________________ Zip__________ Phone _____________________________ Gender _______ DOB _____________ Grade _______
Medical History: If your child has any medical conditions that the coaching staff should be aware of (allergies, asthma, etc.) please indicate: ________________________ __________________________________________
Recognizing the possibility of physical injury associated with soccer and in consideration for East Haddam Soccer Club (EHSC) and its affiliates accepting the registrant for its soccer programs and activities (the “Programs”), I hereby release, discharge and /or otherwise indemnify EHSC its affiliated organizations and sponsors, their employees and associated personnel, including the owners of fields and facilities utilized for the Programs, against any claim by or on behalf of the registrant’s participation in the Program and/or being transported to or from the same which transportation I hereby authorize. My child has received a physical examination by a physician and has been found physically capable of participating in the Programs. Therefore, I grant EHSC and/or its coach’s permission to act as my surrogate for my child in the area of obtaining medical treatment by a doctor of medicine or dentistry. I also assume the financial responsibility for any medical treatment for my child.
Parent/Guardian Signature: _____________________________________
Date: ________________
