REGISTRATION: Camper Name:
Centenary University
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 2017 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 $ 175
Assistant Coach Chris Lawrence, cur-
Enclosed is my check for: $_______
rent players, and guest coaches.
Please make checks payable to: Centenary University Memo Line: Girls Soccer Summer Camp I
Players will be introduced to the Tech-
Detach application and mail with check to:
Girls Soccer Summer Camp I Attn: Kevin Davies Centenary University, 400 Jefferson Street Hackettstown, NJ 07840 A non-refundable deposit of $50 must be enclosed with the camp registration form. Full payment is due by June 14h, 2017. Any registration received after June 14th, 2017 will require full payment.
nical and Tactical components of the 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 University 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
2017 Girls Soccer Summer Camp I
designed for middle school age players in grades 4 thru 8.
Tues-Wed. 2:00 pm– 5:00 pm.
Summer Camp will be held at the J.E.
Thurs-Fri. 9:00am - 1:00pm
Reeves Turf Field at Centenary University,
$175.00
715 Grand Avenue, Hackettstown, NJ
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.
07840.
Camp Checklist
MEDICAL RELEASE FORM I herby give permission for __________________________to participate in the Centenary University 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 he can not participate in this clinic. Records show that all immunizations are up to date. I understand that he will be participating in rigorous play and activity. Centenary University 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 University and the staff of Centenary University Girls Soccer Summer Camp I from any and all liability. I herby request that my child be granted admittance into the Centenary University 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# ___________ Insurance Carrier______________________________
Lunch 11:15– 11:45pm
Kevin Davies, Head Women’s Soccer Coach at 908-852-1400 ext. 2292 or e-mail at
Play 12-1pm
[email protected] Previous Medical Conditions _____________________
Camp Schedule 9-10:00am Warm Up / Technical work 10:15am-11:15 am Tactical work / Small Sided Games
Player’s Name ________________________Age_____ Parent(s) Name(s) _____________________________ Parent(s) Daytime Phone ________________________
Emergency Contact ____________________________
Policy #______________________________________
By Signing below, I agree to all the terms detailed above Parent/Guardian Signature ______________________
www.centenarycyclones.com
Date_______________