| Arsenal - E.A. Keeper Camp |
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| Written by Vaughn Mordecai |
| Wednesday, 09 June 2010 17:08 |
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Arsenal - E.A. Keeper Camp Taught by the Lehi High School Boys/Girls Keeper Trainer: Ethan Adams July 12-14, 2010 1650 North 2650 West - Parkside Subdivision Ages 8yr-11yr 8:00am-11am* 12yr-14yr 12:00pm-3pm* 15yr-18yr 4:00pm-7pm* * Depending on how many kids sign up, the times are subject to change * Kids will be grouped according to skill level Camp Details: - This camp will focus on the technical, tactical and physical aspects of youth goalkeeping. The following skills will be taught:
Cost $65/ $75 for late registration –Make checks payable to: Ethan Adams Full payment is required when the registration form is turned in on or before July 5th 2010. Late registration is after July 5th 2010. Preregister to guarantee your spot. Check-in: Will begin 30 minutes prior to scheduled start time of first session at the field. Additional Information: Certified Athletic Trainer will be on hand for all sessions to provide any medical needs. Water will be provided daily and light refreshments if needed. All keepers will need to come prepared with a SOCCER BALL, proper attire, gloves, cleats, shin guards, sun screen (a must) and anything else needed to perform goal keeper activities. Questions about Registration or Camp: Call Ethan Adams @ 801-735-8427 or email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it Registration Form
Participant Name: ____________________________ Age: Circle one: Male/Female Address______________________________________________________ City/State/Zip _________________________________________________ Phone _______________________________________________________ E-Mail _______________________________________________________ Birth Date_____________________________________________________ Year in school (high school only) ___________________________________ Club Team_____________________________________________________ WAIVER AND RELASE OF LIABILITY FORM I___________________ (please print participant’s name) will be a participant in the E.A. Keeper Camp conducted by Coach Ethan Adams. I herby waive all claims for injury or accident of liability of any kind against E.A. Keeper Camp and any or all employees, sponsors, coaches/staff or members of the team/player participating in this camp/clinic. I am aware that there is no insurance of any kind covering participants and that I will be covered by my own family insurance. I am also aware that I am in good physical shape. If I do have any underlying medical problems or recent injuries, I will check in with the Certified Athletic Trainers on duty and notify them of my circumstances prior to any play. All participants must have parent’s signature.
Participant Signature Parent/Guardian Consent Signature Date Signed Name of Insurance Company’s______________________________ Policy#________________ Emergency Phone#_________________ Contact Person___________________ List medical needs________________________________________________________________________ |
| Last Updated ( Wednesday, 09 June 2010 17:10 ) |