TTAAYYLLOORRVVI ILLLLEE RReeccrreeaatti ioonn DDeeppaarrttmmeenntt SSOOCCCCEERR CCAAM MPP JJuulny e 7 7, , 8 8, , 9 9, , 1 10 0, , 22 00 11 40 ALL AMERICAN YOUTH SOCCER CAMP - MADE IN USA ALL AMERICAN SOCCER CAMPS is committed to share their world experience and knowledge with USA soccer communities. Combining over 30 years of successful experience in the soccer world from Recreational to Professional, National to International and High School to College we can provide the best tailored programs for your needs. Our AASC, Risk Management and USSF certified coaches will provide the best incentive for your child by sharing their USA Recreational, Club, High School and College playing experiences. 1. CONTROL THE BALL
2. CONTROL THE OPPONENT
3. CONTROL THE GAME
GET READY FOR THE FALL SEASON Coaches welcome to any session
[email protected] or write
[email protected] Don Bragg - SPORT COMPLEX July 7, 8, 9, 10, 2014 REGISTRATION FORM AVAILABLE -Recreation Director 217 -824-3110, Taylorville Park and Recreation District. CONTACTS: Andres Collado 217 –823-1707 or
[email protected] REGISTRATION DEADLINE June 13, 2014 - $10.00 late fee after June 13, 2014 8:30 to 9:50 AM
10:00 to 11:45 AM
Noon to 1:45 PM
LATE AFTER NOON/EVENING
7/9 YEARS OLD COED $60.00 includes AASC jersey
10/12 YEARS OLD COED $65.00 includes AASC jersey
Middle School Boys $70.00 includes AASC jersey
Reserve for boys and/or girls High School
ALL AMERICAN YOUTH SOCCER CAMPS REGISTRATION AND PAYMENT FORM Make checks payable to AASC mail to: Andres Collado, 1102 W. Vanderveer, Taylorville, Illinois 62568 REGISTRATIONS W/PAYMENT MUST BE IN BY JUNE 13, 2014 - $10.00 LATE FEE AFTER June 13, 2014
ASC -All American Soccer Camps - soccer Jersey sizes - Please check one Youth medium
Adult small
Adult medium
Adult large
PARTICIPANTS NAME
BIRTHDATE
ADDRESS
GENDER
PHONE
CITY
STATE
PARENT(S)/LEGAL GUARDIAN(S) NAME
Emergency phones; Mom’
Adult X-large
ZIP CODE
ADDRESS (if different from above)
Dad
cell
other-email address
I herby consent to my child's participation in the All American Soccer Camp (s) , Taylorville Park/Recreation Department soccer camps and waive all rights to claim for damages/injuries arising from participating in this program and expressly relieve the sponsors, officers, administrators, staff, instructors, volunteers, organizations/institutions and their affiliates from all and/or any liabilities. I am responsible for insurance and care of injuries should they occur. I understand and agree (legal guardian signature) ________________________________________________________Date ______________________