Viking Youth Soccer

Holmen High School Viking Youth Soccer Clinic Registration Form Childs Name:__________________________________ Address: _____________________________________ _____________________________________________ Current Age : __________ Grade Fall 2016 _________ Parent/Guardian: _______________________________ Address if different: _____________________________

Excellence ...Viking Style!

_____________________________________________ Phone: ______________________________________ Please circle clinic preference. U4-U6 Wednesdays - $25.00 (Starting June 22, 2016) U7-U13 Mondays - Thursdays - $75.00* (Starting July 11, 2016) * We offer a reduced rate of $50 per player if siblings participate.

To Register: Email Andy Olson [email protected]

Sponsored by: Holmen High School‘s Boys Soccer Program

Holmen High School Boys Soccer Program Viking Youth Soccer

by June 17, 2016 Bring your completed Registration Form and payment on the 1st day of the clinic. (Payable to: Holmen High School Boys Soccer)

Andy Olson Phone: 608-386-9181

U4-U6 Jun 22 - Jul 27, 2016 U7-U13 Jul 11 - Jul 28, 2016

Let’s get ready for

Viking Soccer!

U4-U6 Camp The U4-U6 clinic will consist of 6 one hour sessions, meeting one time a week for 6 weeks. Days/Times: Wednesdays (Beginning June 22)  5:30 - 6:30 pm

 Having Fun

List any past or present injuries or restrictions we should be aware of: __________________________________________________________________ __________________________________________________________________

U7-U13 Camp The U7-U13 clinic will consist of 12 one hour sessions, meeting four times a week for 3 weeks.

What to wear: Athletic shorts, t-shirts, shin guards and athletic shoes or soccer cleats (shin guards are mandatory).

Days/Times: Mondays - Thursdays (Beginning July 11)  6:00 - 7:30 pm

What to bring: A full water bottle and lots of enthusiasm! (Soccer balls will be provided.)

Emphasis:

Questions: Contact Andy Olson, HHS Varsity Soccer Coach 608.386.9181 or [email protected].

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Go Vikings!

Sponsored by: Holmen High School Boys Soccer and directed by Vikings Soccer Head Coach Andy Olson.

Please list any past/present health problems or allergies to medications:

 Footwork with and without the ball

Clinic Fee: $25.00 per player

Location: The clinic will be held behind Viking Elementary.

Childs name: ______________________________________________

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Emphasis:

Camp Details

Medical Release Form

 Trapping and shooting

All participants must have their own medical insurance. Please notify us of any medical issues your child has before participating. I verify that my child is physically able to participate in the Viking Youth Soccer Clinic. I hereby authorize the coordinators of the camp to act accordingly for me in their best judgment in any emergency requiring medical attention. I hereby waive and release Holmen High School and Holmen School District and its personnel from any and all liability from any injury while participating in this clinic. Parent/Guardian Name: ________________________________

 Passing

(please print)

 Possession

Parent/Guardian Signature ______________________________

 Dribbling skills

Date: _________________

Clinic Fee: $75.00 per player ( $50 for siblings)

Telephone number during clinic: _________________________ Emergency Contact: ___________________________________ Emergency Contact Phone ______________________________