SELINSGROVE BOYS SOCCER CAMP
Registration Name: ________________________________Grade: ___________ Parent/Guardian _________________________________________ Address:________________________________________________ City: ______________________ Phone: _____________________ Emergency contact information: _____________________________ _______________________________________________________ Please include both name and phone number
Insurance Company and Policy Number: ______________________ _______________________________________________________
SELINSGROVE BOYS SOCCER CAMP Grades 2 through 8 (2014-15 school year) Coach Steffen Memorial High School Field
Adult T-Shirt (circle one): S M L XL Sponsored by Selinsgrove Ford Youth T-Shirt (circle one): S M L XL Sponsored by Selinsgrove Ford Medical Release: This is to certify that my son is physically fit and is free from all illnesses, injuries, and impairments that would inhibit him from participating in soccer camp and related activities. I understand that the Selinsgrove Area School District and the Boys’ Soccer Booster Club and its representatives will not be responsible for any injury or damage to persons or personal property during this event. This is not a school-sponsored activity. Participation is strictly voluntary.
____________________________________ _____________ Parent/Guardian Signature
Date
Send your $50 check (includes camp T-shirt) payable to Selinsgrove Boys’ Soccer Boosters (SBSB) along with this form by May 30, 2014 to:
Chris Lupolt 17 Woodlynn Drive Selinsgrove, PA 17870
June 9-12, 2014 6:30 PM to 8:00PM
Camp Highlights
Developing fundamental soccer skills Demonstrations and drills that will improve individual ball skills Small group instruction with high school players Learning the skills necessary to become a good defender Game related activities Team situations and contests using soccer skills Competitive scrimmages FUN!!!!
Join the fun! Be part of the eighth annual Selinsgrove Boys Soccer Camp Schedule Warm-up and stretching Ball touches Offensive and defensive drills Small-sided games Scrimmages Prizes!
In addition to providing information about the game of soccer, the Selinsgrove boys’ soccer coaching staff is committed to helping young men develop the skills necessary to succeed not only in soccer, but also in life. Hard work, dedication, and communication are vital on the field. We will also stress the importance of teamwork and sportsmanship both on and off the field.
Prizes will be awarded to lucky participants! Deadline to return registration and fee is May 30, 2014. For questions about the camp please contact: Chris Lupolt 374-2378 or [email protected]
Coaching Staff Chris Lupolt-Selinsgrove Varsity Coach David Klinger-Selinsgrove Assistant Varsity Coach Matthew Dufford-Selinsgrove Assistant Varsity Coach Seals Varsity and Junior Varsity players.
Insurance Company and Policy Number: ______________________ _______________________________________________________
SELINSGROVE BOYS SOCCER CAMP Grades 2 through 8 (2014-15 school year) Coach Steffen Memorial High School Field
Adult T-Shirt (circle one): S M L XL Sponsored by Selinsgrove Ford Youth T-Shirt (circle one): S M L XL Sponsored by Selinsgrove Ford Medical Release: This is to certify that my son is physically fit and is free from all illnesses, injuries, and impairments that would inhibit him from participating in soccer camp and related activities. I understand that the Selinsgrove Area School District and the Boys’ Soccer Booster Club and its representatives will not be responsible for any injury or damage to persons or personal property during this event. This is not a school-sponsored activity. Participation is strictly voluntary.
____________________________________ _____________ Parent/Guardian Signature
Date
Send your $50 check (includes camp T-shirt) payable to Selinsgrove Boys’ Soccer Boosters (SBSB) along with this form by May 30, 2014 to:
Chris Lupolt 17 Woodlynn Drive Selinsgrove, PA 17870
June 9-12, 2014 6:30 PM to 8:00PM
Camp Highlights
Developing fundamental soccer skills Demonstrations and drills that will improve individual ball skills Small group instruction with high school players Learning the skills necessary to become a good defender Game related activities Team situations and contests using soccer skills Competitive scrimmages FUN!!!!
Join the fun! Be part of the eighth annual Selinsgrove Boys Soccer Camp Schedule Warm-up and stretching Ball touches Offensive and defensive drills Small-sided games Scrimmages Prizes!
In addition to providing information about the game of soccer, the Selinsgrove boys’ soccer coaching staff is committed to helping young men develop the skills necessary to succeed not only in soccer, but also in life. Hard work, dedication, and communication are vital on the field. We will also stress the importance of teamwork and sportsmanship both on and off the field.
Prizes will be awarded to lucky participants! Deadline to return registration and fee is May 30, 2014. For questions about the camp please contact: Chris Lupolt 374-2378 or [email protected]
Coaching Staff Chris Lupolt-Selinsgrove Varsity Coach David Klinger-Selinsgrove Assistant Varsity Coach Matthew Dufford-Selinsgrove Assistant Varsity Coach Seals Varsity and Junior Varsity players.
