Soccer Club Training Camp, July 27- July 31, 2009
Sponsored by the East Hampton Parks and Recreation Department
For: Boys and Girls entering grades 1 thru 8 in the fall of 2009
Meets: July 27-July 31, 2009
Mon– Fri 9:00AM - 12:00PM East Hampton High School Athletic Complex
Cost: $140 Limits: coaching staff matched to numbers Deadline: July 1, 2009
Contact Information: Parks and Recreation: 267-6020
Our Camp Philosophy is to teach individual and team skills at a level equal to or above child’s ability in a positive and fun environment. Sportsmanship, fair play, team work and competition will be emphasized.
Staff:
Daily Schedule
9:00 - 12:00 Warm-ups, individual and team skill work and contests, small-sided games, full field games
All campers should bring a snack and sneakers in case rain forces us into the gym. Parents, you must meet your child at the field at the end of the session each day.
Return the bottom portion of this form to the East Hampton Parks and Recreation Department, 20 East High Street, East Hampton, CT 06424 with your Payment made payable to Parks and Recreation*.
Soccer Club Training Camp: July 27- July 31
Entering grade and school in Fall, 2009:___________________
Name: ______________________________________________________ Phone: _____________________
Complete Address: _______________________________________________________________________
Allergies/Medical Conditions/ Medicines: _____________________________________________________
Alternate Contact Name and Phone: _________________________________________________________
Release
I understand that participation in this (these) program(s) involves risks of personal and bodily injury, including but not limited to paralysis, heart attack and death, as well as loss or damage to property. I realize that activities such as this may be inherently dangerous activities and my decision to participate in all such activities is made in full recognition of these risks and is entirely voluntary. In consideration of your acceptance of this application, I agree for myself, my heirs, successors, and assigns to hold harmless the Town of East Hampton, Connecticut, its affiliates, subsidiaries and any other entity associated with this (these) program(s), and each of their directors, officers, agents, representatives, employees, volunteers, successors and assigns from all liability on account
of injury, loss claim, or damage to my body, health, well-being or property. I further authorize the personnel to act for me according to their best judgment in any emergency requiring medical attention. I understand that I am responsible for all financial liabilities arising from a situation involving medical treatment. I agree that the terms of this release is applicable to any and all of my dependents who take part in this (these) program(s). (Release applicable to phone registrations as well.)
Signature Parent/Guardian: ___________________________________________ Date: _____________
*To pay by credit card please provide the information needed below:
Credit Card: MasterCard or Visa#: __________________________ Exp. Date: ______________ Amount: ________
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