Lakota West HS June 20-23, 2016

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CAMP PHILOSOPHY This camp emphasizes fun, sportsmanship and the fundamentals of soccer. All campers will receive instruction on Offensive & Defensive skills, footwork, striking the ball, team concepts, and higher level technical & tactical training.

AREAS OF INSTRUCTION INCLUDE:          

Variety of Passing Techniques Dribbling Shooting Defending 1 v 1 Tactical Awareness Heading One-v-One Moves Foot Skills & Touch Team Defense & Offense Goal Keeping

GK Maddie Jewell

MEETING CAMP OBJECTIVES Instructional coaching from current players, alumni, and coaching staff, in a fun and competitive environment at Lakota West Soccer Field. Campers are grouped according to grade level. Requests for “Buddy Groups” are honored, when possible.

LAKOTA WEST CAMP STAFF: ☺ ☺ ☺ ☺ ☺

Head Coach: Brigit Reder High School Coaches Current & Former HS Players Current and Former College Players Special Fitness Training by Adrenaline S&F

Emergency Contact Info: Name_____________________________ Relationship________________________ Phone_____________________________ List any medical problems and or restrictions ______________________________________ ______________________________ We hereby agree that Lakota West High School, its members, coaches, or officers shall not be liable for any injury or loss which my child (or children) may sustain while participating in activities of any kind, whether sponsored by or under the supervision of Lakota West’s staff and we agree to indemnify and to hold harmless Lakota West High school, Firebird Soccer Camp, its members, coaches, officers or designates of any kind from any claim whatsoever. Authorization for Medical Treatment for a Minor: I (name) ________________; the parent/ guardian of the above child, give my permission and consent to assigned head coach of my child's Firebird Youth Soccer Camp for approval of emergency treatment, after consultation with medical staff, for my child in the case of my absence. This authorization is good for the Firebird Youth Soccer Camp. HS Soccer Camp only. Signature________________________ Date__________ Medical Insurance (Yes or No) Name of Company __________________________________

@Lakota West HS June 20-23, 2016 GRADES 1-9, WE INVITE YOU TO CONTINUE THE TRADITION !

Please e-mail questions to Coach Reder at [email protected]. Rush Registration to ensure Spot In Camp & Nike Soccer T-shirt.

INSURANCE Each camper must have her own medical insurance. Lakota and/or any camp staff member shall assume NO responsibility for injuries incurred while at this camp. In signing this application, parents or guardians are assuming any medical insurance risks.

REFUNDS Refunds will only be granted through May 27, 2016 in the case of injury or medical conditions. All such refund requests will require a statement from your physicians and require a $30 processing and equipment fee. These campers will still get a Camp T-shirt.

CHECK IN TIME Please arrive at LWHS 20 minutes prior to your session on Monday, June 20, 2016.

WHAT TO BRING AND WEAR?  A Water Bottle  A Soccer Ball  Grade 2-3 Youth ball (3-4)  Grades 4-9 Full Size Ball (5) -With your name on it! WHAT TO WEAR?  T-Shirt  Soccer Shorts  Cleats  Shin Guards

Adult: S M L XL

Youth: M L XL

8:30-11:30am 8:30-11:30am 8:30-11:30am 8:30-11:30am

Please Make All Checks Payable to: LAKOTA WEST GIRLS SOCCER

All registered campers will receive a confirmation by email. Once camp is at capacity for your grade, a waiting list is formed for any cancellations that may occur.

June 20 June 21 June 22 June 23

Please select T-Shirt Size:

Enrollment is limited! We are looking forward to a fun and packed camp, so register early to ensure a spot!

Monday Tuesday Wednesday Thursday

Registration & Release form (please complete online at westfirebirds.com & return).

CAMPERS ENTERING GRADES 6-9 *Cost includes Nike Camp T-shirt

Camp $85 _______ # of Siblings _____

8:30 - 10:30am 8:30 - 10:30am 8:30 - 10:30am 8:30 - 10:30am

Camp $75 _______ (Before 4/15/16)

June 20 June 21 June 22 June 23

Check Appropriate Students PLEASE use EZ Pay email) ________________________________ permission toLakota (IncludesSelections: Parent Sign.

Monday Tuesday Wednesday Thursday

Email Address: ___________________________________

Family Plan: 2+ Siblings attend, $5 off per athlete

CAMPERS ENTERING GRADES 1-5

Street: _________________________________________ City/Zip_________________________________________ Day Phone: __________________ Cell: _______________ Fall 2016 School: ______________________Grade: _____

Grades 1-9: $85 – April 15th & On

Go Online or Mail in Registration Today!

Name: _______________________________________

Early Bird Discount: $75 – Before April 15th

DATES, TIMES & GEAR

IF UNABLE TO USE LAKOTA EZ-PAY Send or deliver registration and fees to: Lakota West Girls Soccer c/o Lakota West HS 8940 Union Centre Blvd. West Chester, OH 45069

COST