Hot Shots Soccer Camps
Camp 1: Week of June Little Kickers (8am-11am No lunch provided) Hot Shots Hot Shots Advanced Hot Shots Stoppers Lunch Sibling Discount (Does not apply to Little Kickers)
$100 $135 $160 $160 $25 -$25
Camp 2: Week of June Little Kickers (8am-11am No lunch provided) Hot Shots Hot Shots Advanced Hot Shots Stoppers Lunch Sibling Discount (Does not apply to Little Kickers)
$100 $135 $160 $160 $25 -$25
TOTAL:
$
Permission and Release Waiver: I, the parent/guardian of the above player, a minor, have read and completed all of the registration information. I understand that I am requesting that my child be registered in a recreational soccer camp. I agree that I and the player will abide by the rules of WCSA and its affiliated organizations and sponsors. By signing this form, I give WCSA permission to register my child to participate in all aspects of the WCSA Hot Shots or Little Kickers Soccer Camp. I know of no medical or other reason why the player cannot participate in WCSA activities. As parent/legal guardian of this player, I give my consent for emergency medical and/or dental care in the event of any injury or illness while involved in a WCSA program, and accept responsibility for prompt payment of such care and services. Recognizing the possibility of injury, damage and death, I agree to assume the risks of participation in WCSA activities. I release, discharge, hold harmless and indemnify WCSA (and its officers and agents, affiliated organizations and sponsors, leagues, tournaments, and owners of fields, facilities, equipment, and vehicles utilized) from any cost and liability for any injury, damage, loss, expense (including attorney fees), lawsuit, or otherwise, from negligence or any cause, excepting only willful or wanton misconduct directed at this player. I also give permission for the free use of my and player’s name and/or likeness in any advertisement, broadcast, telecast, or other transmission or account or promotion of WCSA programs.
Parents Signature _______________________________ Date __________
Pay by Credit Card circle type of card: Visa
MasterCard
Your name as it appears on the card ___________________________________________________ Expiration _____/______ Account Number _________________________________________ Security Code ____________ Or Pay by Check:
Check # _______ Total Amount Tendered $ ___________________
Hot Shots Soccer Camps WEEK 1: June 4-8
WEEK 2: June 11-15
TIME: 8AM-2PM (Little Kickers 8AM-11AM) Little Kickers Camp: Little Kickers remains the ideal half-day camp for the younger player. Players will participate in age appropriate skill games and finish each day with small-sided games. This is a great opportunity for our youngest players to experience the joy of playing soccer. Ages 5-7. Hot Shots Camp: Hot Shots provides the perfect atmosphere for the recreational player, providing an opportunity for players to improve their skills in various stages of their development. The curriculum is an activities approach to teaching skill, as well as small-sided games each afternoon. Soccer-related water games help keep the players motivated throughout the day. Coaches will help the players with their skill as they learn and improve while having fun. Ages 7-12 Hot Shots Advanced: This year we will continue to offer Hot Shots Advanced for our advanced campers. This camp is designed for players who have developed towards the intermediate and advanced skill levels. The curriculum incorporates tactical themes along with skill work. Each day will have a technical theme and reinforce the day’s theme with afternoon games. Parents and players should expect increased physical demands at this advanced level. Ages 9-15 Hot Shot Stoppers: The popularity of our goalkeeping camp continues to grow. Goalkeepers will spend the first half of the day with the goalkeeping staff improving individual technique. In the afternoon, goalkeepers will be incorporated with the field players in their age group. The goalkeeper staff will then monitor and evaluate progress in game-like situations. Ages 9-15
June 4th - 8th, or June 11th - 15th 8:00 AM to 2:00 PM LITTLE KICKERS 8AM-11AM Location Williamson County Soccer Complex, Franklin, West Fields What to Bring Wear shin guards and soccer shoes. Bring tennis shoes, sun block, large water bottle, and lunch if not being purchased. All items should be marked with the player’s name.
Williamson County Soccer Association Hot Shots Soccer Camps Camper Name _______________________________________________ Date of Birth ____/____/____
Sex
M
F
Address ____________________________________________________
PLEASE DO NOT BRING A SOCCER BALL. Lunch Options (not included for Little Kickers).
City _____________________________ State _____
Zip_________
No concessions are available. Players may either bring their lunch and a drink daily or pre-purchase their lunch for the week for $25. Lunch must be ordered and paid for with camp registration.
Home Phone ________________________________________________
Camper Check-In Monday morning by 8:00 AM at the concession pavilion near the west fields at 1877 Downs Blvd.
Father’s Name ____________________ Cell Phone _______________
Email Address _______________________________________________
Mother’s Name ___________________ Cell Phone _______________ Email Address _______________________________________________
Campers will receive a camp t-shirt and soccer ball (limited to the first 300 players that register).
All Camps are staffed by club and high school coaches and assisted by college and high school players.
Meet the Director Camp Director: Coach David Cordero de Jesús will continue as Camp Director for the fifth year. He brings his knowledge and experience coaching youth soccer in Williamson County to our camps. As an elementary school teacher’s assistant and high school coach, he works with youth on a daily basis. Coach Cordero de Jesús enjoys coaching year round and looks forward to the summer camps yearly. He can be contacted at [email protected]
Emergency Contact Name _____________________________________ Emergency Contact Phone _____________________________________ Allergic Reactions Yes No If yes, list ___________________________________________________ Taking Medications Yes No If yes, list ___________________________________________________ Special Needs Yes No If yes, list ___________________________________________________ T-shirt size
YM
YL
AS
AM
AL
AXL
PLEASE TURN OVER TO COMPLETE CAMP & PAYMENT INFORMATION
WCSA
Mail To: P.O.Box 680037
Franklin,TN 37068-0037
$100 $135 $160 $160 $25 -$25
Camp 2: Week of June Little Kickers (8am-11am No lunch provided) Hot Shots Hot Shots Advanced Hot Shots Stoppers Lunch Sibling Discount (Does not apply to Little Kickers)
$100 $135 $160 $160 $25 -$25
TOTAL:
$
Permission and Release Waiver: I, the parent/guardian of the above player, a minor, have read and completed all of the registration information. I understand that I am requesting that my child be registered in a recreational soccer camp. I agree that I and the player will abide by the rules of WCSA and its affiliated organizations and sponsors. By signing this form, I give WCSA permission to register my child to participate in all aspects of the WCSA Hot Shots or Little Kickers Soccer Camp. I know of no medical or other reason why the player cannot participate in WCSA activities. As parent/legal guardian of this player, I give my consent for emergency medical and/or dental care in the event of any injury or illness while involved in a WCSA program, and accept responsibility for prompt payment of such care and services. Recognizing the possibility of injury, damage and death, I agree to assume the risks of participation in WCSA activities. I release, discharge, hold harmless and indemnify WCSA (and its officers and agents, affiliated organizations and sponsors, leagues, tournaments, and owners of fields, facilities, equipment, and vehicles utilized) from any cost and liability for any injury, damage, loss, expense (including attorney fees), lawsuit, or otherwise, from negligence or any cause, excepting only willful or wanton misconduct directed at this player. I also give permission for the free use of my and player’s name and/or likeness in any advertisement, broadcast, telecast, or other transmission or account or promotion of WCSA programs.
Parents Signature _______________________________ Date __________
Pay by Credit Card circle type of card: Visa
MasterCard
Your name as it appears on the card ___________________________________________________ Expiration _____/______ Account Number _________________________________________ Security Code ____________ Or Pay by Check:
Check # _______ Total Amount Tendered $ ___________________
Hot Shots Soccer Camps WEEK 1: June 4-8
WEEK 2: June 11-15
TIME: 8AM-2PM (Little Kickers 8AM-11AM) Little Kickers Camp: Little Kickers remains the ideal half-day camp for the younger player. Players will participate in age appropriate skill games and finish each day with small-sided games. This is a great opportunity for our youngest players to experience the joy of playing soccer. Ages 5-7. Hot Shots Camp: Hot Shots provides the perfect atmosphere for the recreational player, providing an opportunity for players to improve their skills in various stages of their development. The curriculum is an activities approach to teaching skill, as well as small-sided games each afternoon. Soccer-related water games help keep the players motivated throughout the day. Coaches will help the players with their skill as they learn and improve while having fun. Ages 7-12 Hot Shots Advanced: This year we will continue to offer Hot Shots Advanced for our advanced campers. This camp is designed for players who have developed towards the intermediate and advanced skill levels. The curriculum incorporates tactical themes along with skill work. Each day will have a technical theme and reinforce the day’s theme with afternoon games. Parents and players should expect increased physical demands at this advanced level. Ages 9-15 Hot Shot Stoppers: The popularity of our goalkeeping camp continues to grow. Goalkeepers will spend the first half of the day with the goalkeeping staff improving individual technique. In the afternoon, goalkeepers will be incorporated with the field players in their age group. The goalkeeper staff will then monitor and evaluate progress in game-like situations. Ages 9-15
June 4th - 8th, or June 11th - 15th 8:00 AM to 2:00 PM LITTLE KICKERS 8AM-11AM Location Williamson County Soccer Complex, Franklin, West Fields What to Bring Wear shin guards and soccer shoes. Bring tennis shoes, sun block, large water bottle, and lunch if not being purchased. All items should be marked with the player’s name.
Williamson County Soccer Association Hot Shots Soccer Camps Camper Name _______________________________________________ Date of Birth ____/____/____
Sex
M
F
Address ____________________________________________________
PLEASE DO NOT BRING A SOCCER BALL. Lunch Options (not included for Little Kickers).
City _____________________________ State _____
Zip_________
No concessions are available. Players may either bring their lunch and a drink daily or pre-purchase their lunch for the week for $25. Lunch must be ordered and paid for with camp registration.
Home Phone ________________________________________________
Camper Check-In Monday morning by 8:00 AM at the concession pavilion near the west fields at 1877 Downs Blvd.
Father’s Name ____________________ Cell Phone _______________
Email Address _______________________________________________
Mother’s Name ___________________ Cell Phone _______________ Email Address _______________________________________________
Campers will receive a camp t-shirt and soccer ball (limited to the first 300 players that register).
All Camps are staffed by club and high school coaches and assisted by college and high school players.
Meet the Director Camp Director: Coach David Cordero de Jesús will continue as Camp Director for the fifth year. He brings his knowledge and experience coaching youth soccer in Williamson County to our camps. As an elementary school teacher’s assistant and high school coach, he works with youth on a daily basis. Coach Cordero de Jesús enjoys coaching year round and looks forward to the summer camps yearly. He can be contacted at [email protected]
Emergency Contact Name _____________________________________ Emergency Contact Phone _____________________________________ Allergic Reactions Yes No If yes, list ___________________________________________________ Taking Medications Yes No If yes, list ___________________________________________________ Special Needs Yes No If yes, list ___________________________________________________ T-shirt size
YM
YL
AS
AM
AL
AXL
PLEASE TURN OVER TO COMPLETE CAMP & PAYMENT INFORMATION
WCSA
Mail To: P.O.Box 680037
Franklin,TN 37068-0037
