RB Soccer Camp Brochure – 2016

Release and Waiver of Liability (Please read before signing) The undersigned hereby acknowledges that participation in this camp and related activities involves an inherent risk of physical activity, and the undersigned, on behalf of the registrant, assumes all such risks and does hereby release and forever discharge the camp, River Bluff High School, Lexington County School District 1, and all employees and agents thereof from any and all liability of whatever kind of nature, arising from and by reason of any and all known and unknown, foreseen and unforeseen bodily and personal injuries, damage to property, and the consequences thereof, resulting from the registrant's participation in or involvement with this camp, including any failure of equipment or defects in the premises. I hereby state that I am the legal guardian of said child. Participant Name: ____________________________________ Parent / Guardian: ____________________________________ Parent / Guardian Signature: ____________________________________ Date: _________

Please list any special medical considerations: ___________________________________________ ___________________________________________ ___________________________________________ ___________________________________________ ___________________________________________ ___________________________________________

www.riverbluffathletics.com

9:00am – 12:00pm

www.riverbluffathletics.com

Please return this page with payment

Camp Information Date: July 11th – July 14th Time: 9:00am – 12:00pm (Please arrive by 8:45am) Cost: $75 (Includes camp t-shirt)

Camper Registration Form Name: Age: Shirt Size: Check #:

____________________________ ____________________________ ____________________________ (Youth / Adult) ____________________________

Location: RB Athletic Facilities (Stadium, Track, and Gym) *Drop-off & pick-up will be at Gator Commons (above stadium)

Who may attend: Boys and Girls between 6 and 12 years of age Objective: Learn the game of soccer including: passing, dribbling, shooting, positioning, and strategies. Participants should wear cleats and shin guards each day but bring tennis shoes in case the weather is bad and camp is held inside. Campers should bring a water bottle and ball each day.

Coaching Staff Phil Savitz – Head Men’s Varsity Coach     

35 years of coaching experience Winningest soccer coach in SC (676) 14 State Championships, 9 Runner-Up SCACA and SCHSSCA Hall of Fame USSF National “B” License

K.C. Dunbaker – Head Women’s Varsity Coach  7 years of coaching experience  USSF National “A” License  NSCAA Goalkeeping Level 1 & 2 Diploma Members of the 2016 Men’s / Women’s soccer program

Parent / Guardian(s): ____________________________ ____________________________ Address:

____________________________ ____________________________

Phone: Email:

____________________________ ____________________________

Emergency Contact: Name: ____________________________ Phone: ____________________________ Make payment to: Gator Men’s Soccer and send it to: Phil Savitz River Bluff High School 320 Corley Mill Road Lexington, SC 29072 Contact Information: (803) 821-0957 [email protected] [email protected]