Rush Jr. Academy Program FALL 2017 Registration September 5 – October 28 U5 – U8 Boys and Girls Player Name____________________________________________ Age___________ Birthdate __________________ Gender________________ School__________________________________________ Grade in School_____________ Parent #1 Name & Email _____________________________________________________________________________ Parent #2 Name & Email _____________________________________________________________________________ Parent #1 Phone___________________________________ Parent #2 Phone___________________________________ Player experience/information:________________________________________________________________________ Buddy Request:_____________________________________________________________________________________
Birth Year Age Groups: 2013 = U5; 2012 = U6;
2011 = U7; 2010 = U8
______FALL ACADEMY TEAM ($200) Includes trainings & games! U5 – U8 age groups
Team roster spots are limited! Register before August 1 to secure a spot.
Players need to be ready to play in the U5 coed league and be able to practice for one hour/week. 8 games in Northville Soccer Association recreational league on weekends (Games start Sept. 9th ) 8 training sessions --We train one night each week, starting September 5. Please indicate your top two training choices (Use #1 for first choice; #2 for alternate choice) Tuesdays
_____ 5:30 – 6:30 OR
Wednesdays _____ 5:30 – 6:30
Tuesdays
_____ 6:30 – 7:30 OR
Wednesdays _____ 6:30 – 7:30
Preferred Game Day: _____ Saturdays
_____ *Sundays (*Sunday option only for U5 and U6 players)
______FALL TRAINING CLUB ($90) Includes training only—No games! U5 – U8 age groups
8 training sessions, one session each week, starting September 5. Please indicate your top two training choices (Use #1 for first choice; #2 for alternate choice) Tuesdays
_____ 5:30 – 6:30 OR Wednesdays _____ 5:30 – 6:30
Tuesdays
_____ 6:30 – 7:30 OR Wednesdays _____ 6:30 – 7:30
Mail this form and a check to the address below! Make check payable to Northville Soccer Association
24797 Fairway Hill Drive, Novi, MI 48734 For additional information, please contact Academy Director, Matt Gasparotto, at
[email protected]