2009 WESTSIDE SOCCER CAMP For Boys and Girls ages 7 through 17
Camp conducted by Matt Brickell and the Coronado Soccer Coaching Staff WHEN?
Monday, June 8th, through Thursday, June 11th 9:00 – 11:00 a.m.
WHERE?
Holmes Middle School Athletic Fields. 2455 Mesa Road (just south of Coronado High School)
REGISTER?
Mail your completed registration form and check to: Coronado Business Office, 1590 W. Fillmore, Colo. Spgs., CO 80904
OR Register in person at the Coronado High School Business Office Summer Hours: 8:00 a.m. to noon. Please register by June 5th, 2009
COST?
$60 per player (cost includes 4-day camp and a camp t-shirt) Please make check payable to “Coronado Soccer” Proceeds benefit Coronado Soccer
WHAT TO BRING?
Water bottle, shin guards, soccer ball (if you have one, not required)
For more information, contact the Coronado Business Office at 328-3612 or Matt Brickell at 592-9368
2009 WESTSIDE SOCCER CAMP Participant’s Name: __________________________________________________ Age: _______ T-shirt Size: (Circle one)
CHILD ADULT
Medium Small
Large Medium
Large
X-Large
Parent/Guardian Name(s): _________________________________________________________ Address: _______________________________________________________________________ Home Phone: ______________ Cell Phone: _______________ Work Phone: ______________ Disclaimer:
In consideration of your acceptance of my entry, I intend to be legally bound, hereby for myself, my heirs, executor, and administrators, waive and release the Westside Soccer Camp, Coronado High School, and members, from all claims to injury or rights to damage for traveling to and from, participating, or attending the Westside Soccer Camp.
Parent/Guardian Signature: _________________________________________________________ Physician’s Name: _______________________________ Phone: __________________________ Insurance Coverage? Yes _____ No _____