Outdoor Skill Camps behind Athens Community Center
June 6,7,8,9--$40.00
Tiny Tots (ages 3 and 4) 5:00-6:00PM
Under 6/Under 8 6:00-7:00PM
U10/U12 7:00-8:00PM
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Indoor Skill Camps Parkersburg At Elite Sports Center
June 22, 23, 24--$40.00
Tiny Tots (ages 3 and 4) 1:00-2:00PM
Under 6/Under 8 2:00-3:00PM
Under 9/Under 11 3:00-4:00PM
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Goalkeeper Camp July 5, 6, 7, 8---$90
1:00-3:00pm
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
July 18, 19, 20, 21--$70.00
Under 12/Under 14 1:00-2:30PM
High School 2:30-4:00PM
~~~~~~~~~~~~~~~~~~~~~~~~
July 25, 26, 27, 28--$50.00
Tiny Tots (ages 3 and 4) 1:00-2:00PM
Under 6/Under 8 2:00-3:00PM
Under 9/Under 11 3:00-4:00PM
Registration for INDOOR CAMPS through Elite Sports Center
Phone:(304) 485-8433
Elite Sports Center
200 1st Avenue Parkersburg West Virginia 26101
Athens Soccer Academy Registration Form
Youth Section
Name _____________________________________________________________________________
Child's Age/Date of Birth
Shirt Size from Link on website________________________________________________________
Home Address_______________________________________________________________________
Does your child have known allergies or medical issues? Y/N
If yes, please indicate_________________________________________________________________
___________________________________________________________________________________
Parent/Adult Information Section
Name ___________________________________________________________________________
Emergency Contact #2 (not your number)________________________________________________
Address______________________________________________________________
Phone # Home ____________________________Cell_________________________ Text?_________________________________________________________________
Email_________________________________________ Are you on Facebook?_____
Are there any other things you would like us to know as we work with your child?
______________________________________________________________________
______________________________________________________________________
Child's Doctor Doctor's phone
By signing this form, I voluntarily assume all risk of personal accident, injury, damage and/or loss as a result of my child's participation with Athens Soccer Academy, LLC. Therefore, I agree to release the Athens Department of Parks and Recreation, the Greater Athens Soccer Association, Southeastern Ohio Soccer League, all sponsors, Tad Albano and Athens Soccer Academy, and its officers and any local individuals acting on behalf of these entities, from responsibility for any and all damage or injury of any kind as a result of my child's participation. I grant Athens Soccer Academy the right to take photographs and/or videos of my child in connection with the above participation. I authorize Athens Soccer Academy, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that Athens Soccer Academy may use such photographs, with or without name, and for any lawful purpose, including for example such purposes as Athens Soccer Academy publicity, illustration, advertising, and web content.
Parent's Signature____________________________________________ Date____________________________________________
No comments:
Post a Comment