Summer Soccer Camp in association with Manchester United's Tom ...
Summer Soccer Camp in association with Manchester United’s Tom Statham is back at Countryside Park (59th and Brainard) June 20 – June 23, 2016 Tom’s background: Tom Statham is a professional soccer coach in England. He and Celtics Club President David Rout have been running soccer camps together for many years. Tom is one the most senior Youth Team coaches at Manchester United and has coached many professional players, some of whom have gone on to play for Manchester United’s 1st Team. Current well-known 1st team English Premier League players that Tom has coached include Lingard & Rashford (Man Utd), Welbeck (Arsenal), Evans (WBA), Drinkwater & Simpson (Leicester City) and Cleverley (Everton). In addition, Tom is Head Coach at one of England’s top private schools and also organizes the Celtics’ annual spring break trip to England. Prior to coaching, Tom signed as a professional player for Middlesborough after finishing his teaching degree. The camp is open to Celtics and non-Celtics players, girls and boys. Details:
Two-hour sessions Monday through Thursday mornings Times: 8:00 - 10:00am Grades 2nd-4th 10:00 am-12:00pm Grades 5th & 6th Noon - 2:00pm Grades 7th, 8th & 9th Grades are determined by academic year 2016/17 $160 per player (2ndgrades through HS) and discounted to $140 per player for families with multiple participants Celtics Juniors Summer Camp, run by Andrew Taylor and Chris Koenig, will be for U5-U7 on the same days from 8:00 - 10:00 am. Please refer to the separate waiver/registration form on page 3. For both camps, we will circulate a list of participants a few days before to assist with carpooling options.
Please complete the camp registration form and waiver (page 2) and send with your check to 110 S. Park, La Grange, IL 60525. Alternatively you can register and pay by credit card on our website at www.theceltics.org. If you have any questions please contact David Rout at 773-499-9261 or [email protected].
SUMMER SOCCER CAMP … June 20 - June 23, 2016 Cost: $160 per player ($140 per player for families with multiple participants). Checks made payable to Celtics Please complete the waiver below and send with your check to 110 S. Park, La Grange, IL 60525. Alternatively you can register and pay by credit card on our website at www.theceltics.org. REGISTRATION WAIVER AND RELEASE OF ALL CLAIMS PLEASE READ THIS FORM CAREFULLY. BY SIGNING IT FOR YOUR MINOR/CHILD, YOU WILL BE RELEASING ALL CLAIMS FOR INJURIES THAT MIGHT BE SUSTAINED IN CONNECTION WITH THIS ACTIVITY.
Date of Soccer Camp: June 20th-June 23rd Times: 8:00 - 10:00am Noon - 2 pm
Location: Countryside Park (59th & Brainard)
Grades 2nd-4th Grades 7th, 8th & 9th
10:00am - Noon
Grades 5th & 6th
Participant’s Name: _______________________________Date of Birth:_____________________________ Circle Grade (2016/17):
2nd
3rd
4th
5th
6th
7th
8th
9th
Home Phone: _______________________Cell Phone of a Parent: __________________________________ Street Address: __________________________________________ City: ____________________________ State and Zip: ___________________ Emergency contact Number(s):__________________________ Email: __________________________________________________________________________________ This release is executed on:___________________2016, by_______________________________________ Parent or Legal Guardian (please print & sign) To The Celtics Sports Foundation, LG Celtics, The LaGrange Celtics Sports Foundation, Statham Soccer Limited, The Village of La Grange, The Village of Hinsdale and The City of Countryside, IL. I being of lawful age, in consideration for my child being permitted to participate in this activity, do for them, myself, heirs, executors, administrators and assigns, hereby release and forever discharge The Celtics Sports Foundation, The LaGrange Celtics Sports Foundation, Statham Soccer Limited, The City of Countryside, The Village of La Grange, The Village of Hinsdale its trustees, officers, agents, employees, servants and officials of and from any and every claim, demand, action, or right of action of whatever kind of nature, either in law or in equity raising from or by reason of any bodily injury or personal injury known or unknown, death or property damage resulting or to result from any accident which may occur as a result of participation in this activity or any activities in connection with this activity whether by negligence or not. I further release the Celtics Sports Foundation, LaGrange Celtics Sports Foundation, LG Celtics, Statham Soccer Limited, The City of Countryside, The Village of La Grange, The Village of Hinsdale and its trustees, employees, and agents from any claim whatsoever on account of first aid treatment or service rendered my child during participation in this activity. The release contains the entire agreement between parties hereto and the terms of this release are contractual and not a mere recital. I have carefully read the foregoing release and know the contents thereof and sign this release as my own free act. In witness whereof, I have executed this release the date and year first above written.
For: ________________________________________________
______________________________________________
(Participant’s Name)
(Parent’s Signature)
JUNIORS SUMMER SOCCER CAMP with Andrew Taylor and Chris Koenig June 20 - June 23, 2016 Times: 8:00 -10:00am Location: Countryside Park (59th & Brainard) Cost: $140 per player ($125 per player for families with multiple participants). Checks made payable to Celtics. Please complete the waiver below and send your check to 110 S. Park, La Grange, IL 60525. Alternatively you can register and pay by credit card on our website at www.theceltics.org. If you have any questions please contact David Rout at 773-499-9261 or [email protected]. REGISTRATION WAIVER AND RELEASE OF ALL CLAIMS PLEASE READ THIS FORM CAREFULLY. BY SIGNING IT FOR YOUR MINOR/CHILD, YOU WILL BE RELEASING ALL CLAIMS FOR INJURIES THAT MIGHT BE SUSTAINED IN CONNECTION WITH THIS ACTIVITY. Participant’s Name: ___________________________________Date of Birth: ________________________________________ Circle Grade (2016/17):
Pre-K
K
st
1
nd
2
Home Phone: ________________________________Cell Phone of a Parent: __________________________________________ Street Address: ___________________________________________ City: ____________________________________________ State and Zip: ______________________________ Emergency Contact Number(s):____________________________________ Email: ____________________________________________________________________________________________________ This release is executed on:___________________2016, by________________________________________________________ [Parent or Legal Guardian (please print & sign)] To The Celtics Sports Foundation, LaGrange Celtics Sports Foundation, LG Celtics, Village of La Grange, Village of Hinsdale and The City of Countryside, IL. I being of lawful age, in consideration for my child being permitted to participate in this activity, do for them, myself, heirs, executors, administrators and assigns, hereby release and forever discharge The Celtics Sports Foundation, LaGrange Celtics Sports Foundation, LG Celtics, The City of Countryside, The Village of La Grange, The Village of Hinsdale its trustees, officers, agents, employees, servants and officials of and from any and every claim, demand, action, or right of action of whatever kind of nature, either in law or in equity raising from or by reason of any bodily injury or personal injury known or unknown, death or property damage resulting or to result from any accident which may occur as a result of participation in this activity or any activities in connection with this activity whether by negligence or not. I further release the Celtics Sports Foundation, LaGrange Celtics Sports Foundation, LG Celtics, The City of Countryside, The Village of La Grange, The Village of Hinsdale and its trustees, employees, and agents from any claim whatsoever on account of first aid treatment or service rendered my child during participation in this activity. The release contains the entire agreement between parties hereto and the terms of this release are contractual and not a mere recital. I have carefully read the foregoing release and know the contents thereof and sign this release as my own free act. In witness whereof, I have executed this release the date and year first above written.
For: ________________________________________ (Participant’s Name)
__________________________________________ (Parent’s Signature)
Two-hour sessions Monday through Thursday mornings Times: 8:00 - 10:00am Grades 2nd-4th 10:00 am-12:00pm Grades 5th & 6th Noon - 2:00pm Grades 7th, 8th & 9th Grades are determined by academic year 2016/17 $160 per player (2ndgrades through HS) and discounted to $140 per player for families with multiple participants Celtics Juniors Summer Camp, run by Andrew Taylor and Chris Koenig, will be for U5-U7 on the same days from 8:00 - 10:00 am. Please refer to the separate waiver/registration form on page 3. For both camps, we will circulate a list of participants a few days before to assist with carpooling options.
Please complete the camp registration form and waiver (page 2) and send with your check to 110 S. Park, La Grange, IL 60525. Alternatively you can register and pay by credit card on our website at www.theceltics.org. If you have any questions please contact David Rout at 773-499-9261 or [email protected].
SUMMER SOCCER CAMP … June 20 - June 23, 2016 Cost: $160 per player ($140 per player for families with multiple participants). Checks made payable to Celtics Please complete the waiver below and send with your check to 110 S. Park, La Grange, IL 60525. Alternatively you can register and pay by credit card on our website at www.theceltics.org. REGISTRATION WAIVER AND RELEASE OF ALL CLAIMS PLEASE READ THIS FORM CAREFULLY. BY SIGNING IT FOR YOUR MINOR/CHILD, YOU WILL BE RELEASING ALL CLAIMS FOR INJURIES THAT MIGHT BE SUSTAINED IN CONNECTION WITH THIS ACTIVITY.
Date of Soccer Camp: June 20th-June 23rd Times: 8:00 - 10:00am Noon - 2 pm
Location: Countryside Park (59th & Brainard)
Grades 2nd-4th Grades 7th, 8th & 9th
10:00am - Noon
Grades 5th & 6th
Participant’s Name: _______________________________Date of Birth:_____________________________ Circle Grade (2016/17):
2nd
3rd
4th
5th
6th
7th
8th
9th
Home Phone: _______________________Cell Phone of a Parent: __________________________________ Street Address: __________________________________________ City: ____________________________ State and Zip: ___________________ Emergency contact Number(s):__________________________ Email: __________________________________________________________________________________ This release is executed on:___________________2016, by_______________________________________ Parent or Legal Guardian (please print & sign) To The Celtics Sports Foundation, LG Celtics, The LaGrange Celtics Sports Foundation, Statham Soccer Limited, The Village of La Grange, The Village of Hinsdale and The City of Countryside, IL. I being of lawful age, in consideration for my child being permitted to participate in this activity, do for them, myself, heirs, executors, administrators and assigns, hereby release and forever discharge The Celtics Sports Foundation, The LaGrange Celtics Sports Foundation, Statham Soccer Limited, The City of Countryside, The Village of La Grange, The Village of Hinsdale its trustees, officers, agents, employees, servants and officials of and from any and every claim, demand, action, or right of action of whatever kind of nature, either in law or in equity raising from or by reason of any bodily injury or personal injury known or unknown, death or property damage resulting or to result from any accident which may occur as a result of participation in this activity or any activities in connection with this activity whether by negligence or not. I further release the Celtics Sports Foundation, LaGrange Celtics Sports Foundation, LG Celtics, Statham Soccer Limited, The City of Countryside, The Village of La Grange, The Village of Hinsdale and its trustees, employees, and agents from any claim whatsoever on account of first aid treatment or service rendered my child during participation in this activity. The release contains the entire agreement between parties hereto and the terms of this release are contractual and not a mere recital. I have carefully read the foregoing release and know the contents thereof and sign this release as my own free act. In witness whereof, I have executed this release the date and year first above written.
For: ________________________________________________
______________________________________________
(Participant’s Name)
(Parent’s Signature)
JUNIORS SUMMER SOCCER CAMP with Andrew Taylor and Chris Koenig June 20 - June 23, 2016 Times: 8:00 -10:00am Location: Countryside Park (59th & Brainard) Cost: $140 per player ($125 per player for families with multiple participants). Checks made payable to Celtics. Please complete the waiver below and send your check to 110 S. Park, La Grange, IL 60525. Alternatively you can register and pay by credit card on our website at www.theceltics.org. If you have any questions please contact David Rout at 773-499-9261 or [email protected]. REGISTRATION WAIVER AND RELEASE OF ALL CLAIMS PLEASE READ THIS FORM CAREFULLY. BY SIGNING IT FOR YOUR MINOR/CHILD, YOU WILL BE RELEASING ALL CLAIMS FOR INJURIES THAT MIGHT BE SUSTAINED IN CONNECTION WITH THIS ACTIVITY. Participant’s Name: ___________________________________Date of Birth: ________________________________________ Circle Grade (2016/17):
Pre-K
K
st
1
nd
2
Home Phone: ________________________________Cell Phone of a Parent: __________________________________________ Street Address: ___________________________________________ City: ____________________________________________ State and Zip: ______________________________ Emergency Contact Number(s):____________________________________ Email: ____________________________________________________________________________________________________ This release is executed on:___________________2016, by________________________________________________________ [Parent or Legal Guardian (please print & sign)] To The Celtics Sports Foundation, LaGrange Celtics Sports Foundation, LG Celtics, Village of La Grange, Village of Hinsdale and The City of Countryside, IL. I being of lawful age, in consideration for my child being permitted to participate in this activity, do for them, myself, heirs, executors, administrators and assigns, hereby release and forever discharge The Celtics Sports Foundation, LaGrange Celtics Sports Foundation, LG Celtics, The City of Countryside, The Village of La Grange, The Village of Hinsdale its trustees, officers, agents, employees, servants and officials of and from any and every claim, demand, action, or right of action of whatever kind of nature, either in law or in equity raising from or by reason of any bodily injury or personal injury known or unknown, death or property damage resulting or to result from any accident which may occur as a result of participation in this activity or any activities in connection with this activity whether by negligence or not. I further release the Celtics Sports Foundation, LaGrange Celtics Sports Foundation, LG Celtics, The City of Countryside, The Village of La Grange, The Village of Hinsdale and its trustees, employees, and agents from any claim whatsoever on account of first aid treatment or service rendered my child during participation in this activity. The release contains the entire agreement between parties hereto and the terms of this release are contractual and not a mere recital. I have carefully read the foregoing release and know the contents thereof and sign this release as my own free act. In witness whereof, I have executed this release the date and year first above written.
For: ________________________________________ (Participant’s Name)
__________________________________________ (Parent’s Signature)
