REGISTRATION: Camper Name:
Centenary College
Address: City:
Women’s Soccer State:
Zip:
Telephone:
Girls Summer Camp I
Email: DOB:
Age:
School: Grade (4-8) T-Shirt Size YS YM S M L (Please Circle)
The
Centenary
Women’s
Soccer
Program is proud to introduce the 2016 Girls Summer Camp I for female soccer players grades 4 thru 8. The Camp will be directed by Head Coach Kevin Davies
Girls Soccer Summer Camp I $ 150
Assistant Coach Chris Lawrence, cur-
Enclosed is my check for: $________
rent players, and guest coaches.
Tuesday—-5-8pm Wednesday-Friday —-9-1pm
Players will be introduced to the Technical and Tactical components of the
Please make checksdeposit payable A non-refundable of to: $50 must be Centenary enclosedCollege with the camp registration form. Full payment is due Summer by June 14h, 2016. Memo Line: Girls Soccer Camp I
Any registration received after June 14th, 2016 will require full payment.
Detach application and mail with check to:
Girls Soccer Summer Camp I Attn: Kevin Davies Centenary College, 400 Jefferson Street Hackettstown, NJ 07840
game in a fun environment. Players will be encouraged to express themselves creatively throughout the day. For more information or questions, contact Coach Davies. Kevin Davies Centenary College Head Women’s Soccer Coach Office: (908) 852—1400 ext: 2292
[email protected] Schedule of Events
General Camp Information
The Cyclone Girls Soccer Summer Camp I is
2016 Girls Soccer Summer Camp I
designed for middle school age players in grade 4 thru 8.
Tues. 5:00 pm– 8:00 pm.
Summer Camp will be held at the J.E.
Wed.-Fri. 9:00am - 1:00pm
Reeves Turf Field at Centenary College, 715
$150.00
Grand Avenue, Hackettstown, NJ 07840.
It is important that players arrive in a timely manner in order for camp to start and end on time. It is also imperative that players are picked up in a timely fashion once each day of camp is done. Camp Checklist
Camp Schedule 9-10:00am Warm Up / Technical work 10:15am-11:15 am Tactical work / Small Sided Games Lunch 11:15– 11:45pm Play 12-1pm
MEDICAL RELEASE FORM I herby give permission for __________________________to participate in the Centenary College Girls Soccer Summer Camp I. I certify that my daughter is in good physical condition, has been examined within the last 12 months and no medical reason has been found that she can not participate in this clinic. Records show that all immunizations are up to date. I understand that she will be participating in rigorous play and activity. Centenary College Personnel have also been informed of any physical limitations, medications or prior conditions. The clinic will safeguard the health of my child but will not be responsible for accidents, injuries or sickness on the way to the clinic, during the clinic or on the way home. I agree that in the case of an accident involving my child while attending this clinic, and with full awareness that soccer is an activity that may involve risk or injury, I release Centenary College and the staff of Centenary College Girls Soccer Summer Camp I from any and all liability. I herby request that my child be granted admittance into the Centenary College Girls Soccer Summer Camp I and authorize the directors to act on my behalf in the event of an emergency requiring medical attention. I will assume responsibility for payment for any such attention and have provided current insurance information as requested.
turf shoes or cleats
sneakers or indoor shoes
shin guards
water or a sports drink
Campers are responsible for bringing their own lunch each day to camp.
Home Phone _________________________________
For more information contact:
Relationship _________Contact Phone# ___________
Kevin Davies, Head Women’s Soccer Coach at 908-852-1400 ext. 2292 or e-mail at
Insurance Carrier______________________________
Player’s Name ________________________Age_____ Parent(s) Name(s) _____________________________ Parent(s) Daytime Phone ________________________
Emergency Contact ____________________________
Policy #______________________________________ Previous Medical Conditions _____________________ By Signing below, I agree to all the terms detailed above Parent/Guardian Signature ______________________
www.centenarycyclones.com
Date_______________