Viking Soccer Camp DOC 1.28.17
Camp Registration Form
Camp Information
First Name:
Date:
Last Name:
January 28th, 2017
Address:
Time
City:
9:00am-12:45pm
State:
Zip:
Age:
Grade:
Home Phone:
Location:
Viking Soccer
LLC
Portland State University
Stott Field SW 11th Ave (at SW Harrison St) Portland, OR 97201
Email:
Cost
Position: Grad Year: Club Team: Club Coach: EMERGENCY CONTACT Name: Home Phone:
$65 per player if registered by Jan. 23rd. Price jumps to $75 after the 23rd. Checks made payable to: Viking Soccer LLC
Schedule of Events
Work Phone:
Check in: 9:00am-9:20am
Email:
Warm up: 9:30am-9:45am
CONTACT INFO & QUESTIONS Justin Wagar 801.234.0235 Email: [email protected] Camp will be limited to 50 players. Enrollment is open to girls, grades 9th thru Soph’s in College. Email to reserve your spot. Payment must be received by Jan 23rd for discount. Price jumps after 23rd.
Training session: 9:45am-12:45pm Closing remarks 12:45pm Players need to bring their own ball with name on it and water bottle. Please wear shin guards and bring athletic sweats/jacket incase of inclement weather.
The Camp will be limited to 50 players
Viking Soccer LLC
College ID Camp January 28th, 2017
Liability Waiver About the Camp I hereby register my child for the Viking Soccer Camp and authorize staff to direct my child in participation of camp activities. I know of no mental or physical problems that may affect my child’s ability to safely participate in the camp. The Viking Soccer coaches have my permission to seek medical treatment for my child, as they deem necessary. I acknowledge that I am responsible for any and all medical or other charges incurred in connection with my child’s attendance at the Viking Soccer Camp. In consideration for my child’s participation in the camp, I hereby release and hold harmless Viking Soccer LLC coaching staff members and Portland State University and their employees from any and all liability that may arise out of my child’s participation in the camp. Parent/Guardian Printed Name
Parent/Guardian Signature and Date
The Viking Soccer Camp will provide an intimate setting for the aspiring athlete looking to gain insight into what it takes to be a soccer player at the next level. Campers will have the opportunity to meet current Division I soccer players from Portland State University. Each camper will be afforded the opportunity to ask any questions they may have in order to gain insight into the life the collegiate soccer player. Each camper will be provided the opportunity to train and compete that day in shooting drills, small-sided games, and fullsided scrimmages. The main purpose of this camp is to identify future talent for teams in a competitive setting on our campus. We encourage each player to come with any questions they have for the college athletes and prepare to have fun while playing some soccer!
About the Staff Laura Schott Founder, Viking Soccer LLC -Head Coach, Portland State -4 Conference Championships -Winningest Coach in PSU History -60+ All Conference Players -6 Conference POYs -Region IV Coach -Playing experience at National Team, Pro & NCAA Levels Justin Wagar -Assistant coach PSU. 14 years of experience as college soccer coach. -2 time conference coach of the year. -Coached NCAA tournament qualifying team and NAIA National tourney team. Return forms by scanning or E-mailing them to: [email protected] Or mail to: VIKING SOCCER LLC P.O. BOX 824 Wilsonville, OR 97070 Checks made payable to: Viking Soccer LLC Checks to be mailed with registration or mailed separately if registration is emailed or scanned. Cash in person upon approval. $30 fee for bounced checks.
Camp Information
First Name:
Date:
Last Name:
January 28th, 2017
Address:
Time
City:
9:00am-12:45pm
State:
Zip:
Age:
Grade:
Home Phone:
Location:
Viking Soccer
LLC
Portland State University
Stott Field SW 11th Ave (at SW Harrison St) Portland, OR 97201
Email:
Cost
Position: Grad Year: Club Team: Club Coach: EMERGENCY CONTACT Name: Home Phone:
$65 per player if registered by Jan. 23rd. Price jumps to $75 after the 23rd. Checks made payable to: Viking Soccer LLC
Schedule of Events
Work Phone:
Check in: 9:00am-9:20am
Email:
Warm up: 9:30am-9:45am
CONTACT INFO & QUESTIONS Justin Wagar 801.234.0235 Email: [email protected] Camp will be limited to 50 players. Enrollment is open to girls, grades 9th thru Soph’s in College. Email to reserve your spot. Payment must be received by Jan 23rd for discount. Price jumps after 23rd.
Training session: 9:45am-12:45pm Closing remarks 12:45pm Players need to bring their own ball with name on it and water bottle. Please wear shin guards and bring athletic sweats/jacket incase of inclement weather.
The Camp will be limited to 50 players
Viking Soccer LLC
College ID Camp January 28th, 2017
Liability Waiver About the Camp I hereby register my child for the Viking Soccer Camp and authorize staff to direct my child in participation of camp activities. I know of no mental or physical problems that may affect my child’s ability to safely participate in the camp. The Viking Soccer coaches have my permission to seek medical treatment for my child, as they deem necessary. I acknowledge that I am responsible for any and all medical or other charges incurred in connection with my child’s attendance at the Viking Soccer Camp. In consideration for my child’s participation in the camp, I hereby release and hold harmless Viking Soccer LLC coaching staff members and Portland State University and their employees from any and all liability that may arise out of my child’s participation in the camp. Parent/Guardian Printed Name
Parent/Guardian Signature and Date
The Viking Soccer Camp will provide an intimate setting for the aspiring athlete looking to gain insight into what it takes to be a soccer player at the next level. Campers will have the opportunity to meet current Division I soccer players from Portland State University. Each camper will be afforded the opportunity to ask any questions they may have in order to gain insight into the life the collegiate soccer player. Each camper will be provided the opportunity to train and compete that day in shooting drills, small-sided games, and fullsided scrimmages. The main purpose of this camp is to identify future talent for teams in a competitive setting on our campus. We encourage each player to come with any questions they have for the college athletes and prepare to have fun while playing some soccer!
About the Staff Laura Schott Founder, Viking Soccer LLC -Head Coach, Portland State -4 Conference Championships -Winningest Coach in PSU History -60+ All Conference Players -6 Conference POYs -Region IV Coach -Playing experience at National Team, Pro & NCAA Levels Justin Wagar -Assistant coach PSU. 14 years of experience as college soccer coach. -2 time conference coach of the year. -Coached NCAA tournament qualifying team and NAIA National tourney team. Return forms by scanning or E-mailing them to: [email protected] Or mail to: VIKING SOCCER LLC P.O. BOX 824 Wilsonville, OR 97070 Checks made payable to: Viking Soccer LLC Checks to be mailed with registration or mailed separately if registration is emailed or scanned. Cash in person upon approval. $30 fee for bounced checks.
