Evergreen Soccer Club Registration Application Form _________________________________________ Applicant’s Name Phone Number _________________________________________ Address
Our Philosophy Evergreen Soccer Club is designed for the soccer player who desires to improve his or her skills through close individual instruction. Our coaches are selected on the basis of their knowledge and sincere interest in the development of young people in the game of soccer. The club is structured for players of all levels of ability.
_________________________________________ City State Zip _________________________________________ Date of Birth Age _________________________________________ Parent’s Email Assumption of Risk and Waiver In recognition of the possible dangers connected with any physical activity, I hereby knowingly and voluntarily waive my right or cause of action of any kind whatsoever arising as the result of such activity from which any liability may accrue to Evergreen Soccer Club, its employees and agents. I understand that all exercise and participation is done at my own risk and therefore Evergreen Soccer Club is not liable for any personal injury, accident, death, theft, or loss of personal property. I release Evergreen Soccer Club from any injury arising from its good faith acts or omissions in emergency situations. I represent that I am over the age of 18 or a parent / guardian of the minor named above and agree that this assumption of risk and waiver binds me and the minor to all its terms.
_____________________________________ Parent’s Signature Date
Soccer Tryout Boys & Girls Players ages 13-17 July 8, 9, 10 10:00am-12:00pm
About Evergreen Soccer
The Staff
Evergreen Soccer Club started operation in November of 2013 with the blessing of the Berks County Girls High School Soccer Association. We formed two girls travel teams ages U14 and U17. We joined the Lehigh Valley Soccer League operating in the Allentown, PA area. We also participated in 3 college showcase tournaments. Our operating dates are November 15– July 15.
Director Stan Cieplinski was a former college coach at Albright College and at Longwood College in VA. He was the coach of both Reading United AC and Reading Rage Super 20. He is the former girls head coach at Oley Valley High School. Stan was named Mid Atlantic Division II coach of the year while at Longwood and has a National Advance Certificate from the National Soccer Coaching Association of America. He has a master’s degree in Physical Education and in Clinical Psychology from West Chester University.
The purpose was to work with players that may have missed getting on the “elite” travel teams in the Reading-Berks Area. We have attracted players from Oley, Exeter, Wilson, Muhlenburg, Fleetwood, Schuykill and Blue Mountain High Schools.
We are forming boys travel teams in our second season. Evergreen Soccer Club offers boys and girls an action-packed season of expert, up-to-date coaching and teaching in the skills and strategies of successful soccer. Training and conditioning are explored and the basic fundamentals of kicking, receiving, dribbling, shooting, tackling, trapping, heading and goalkeeping are expertly taught. All instruction is aimed at providing the aspiring player the knowledge and teaching he/she needs to direct his/her efforts and develop the necessary skills to help the player accelerate his/her progress and self confidence in actual game conditions. We are looking for players who want to improve their skills in order to play in college or beyond.
Director Kalman Csapo was the head coach and general manager of the PA Stoners, a professional team in the American Soccer League. He was also the head coach at Rutgers University, Moravian College and Delaware Valley College. He is a former professional player and member of a US National team, coach of the year selectee, hall of fame inductee, holds a coaching license from USSF, and is a staff member at Valhalla Health & Fitness Club. Kalman currently is an assistant varsity girls coach at Oley Valley High School. Staff—Scott Burcik is a former professional player with the Pennsylvania Stoners. He was a 4year starter at midfield and back in college achieving All-State and AllLeague status. He graduated from Delaware Valley College and has a BS in Criminal Justice. Scott is currently an assistant coach at Blue Mountain High School with the boys varsity team.
Tryouts Evergreen Soccer Field 415 Hartz Road, Fleetwood PA July 8, 9, 10 10:00 am—12:00 pm
Looking for Boys and Girls Ages 13-17 To form Travel Teams
For more information contact Stan Cieplinski at
[email protected] or 610-655-5659 or Kalman Csapo at
[email protected] or 610-334-2345