2015
Summer Soccer Series
OliverSoccer is a premier soccer training and coaching organization that focuses on coaching young people in the rules, techniques
and skills of soccer. Our coaches guide players with patience and skill as they instill a love of the sport accompanied with skill
development, sportsmanship and team building.
CAMP #1: Skills (5-‐12 yrs)
CAMP #2: Young Classic (8-‐14 yrs) Lewis (Fayetteville)
June 8th – 12th Brunner & Lay (Springdale) June 22nd – 26th 5:30pm – 7pm $115 CAMP #3: Striker/Keeper (7-‐15 yrs) Lewis (Fayetteville) June 29th – 2nd 5:30pm – 7pm $100 Lewis (Fayetteville) CAMP #4: Skills Jr. (4-‐12yrs) CAMP #5: Skills & Awareness (8-‐14yrs) Lewis (Fayetteville) July 13th – 17th 9am – 11:30am $120 July 13th – 17th 5:30pm – 7pm $110 CAMP #6: Skills (5-‐12 yrs) CAMP #7: Classic (12-‐17 yrs) Lewis (Fayetteville) July 20th – 24th 9am – 11am $120 Fayetteville H.S July 27th – 31st 9am – 11am $135 CAMP #8: Pre-‐Season Prep (5-‐16 yrs) OliverSoccer & Fayetteville Rec Lewis (Fayetteville) Aug 10th – 12th 5:30pm – 7:00pm $60 Discounts:
• Early Bird: Book before May 31st $10 off!
• Sibling Discount*: $10 discount for each additional child
*Not available online
Free OliverSoccer T-‐shirt for all participants 5:30pm – 7pm
$100 Contact Info: Cell: (479) 856-‐1122 Email: [email protected] Website: Oliversoccer.com Please PRINT CLEARLY Application & Medical Waiver Player Name: _____________________________________ Parent/Guardian: ______________________________ Address: ________________________________________________ Phone: _____________________ cell/home Age: __________ Email: ________________________________ Phone: _____________________ cell/home Camp #____ Amount enclosed: _____ Discount: Early bird Sibling T-‐Shirt Size: YS YM YL AS AM AL I hereby certify that, _________________________________________________ is physically fit to attend and participate in the OliverSoccer camp and know of no impairment that would limit his/her participation in all activities of the program. I, _________________________________________________, hereby authorize the staff of the OliverSoccer to act for me according to their best judgment in any emergency requiring medical attention. I hereby release the said camp/clinic/school from any and all liability for any injuries incurred while in the program. During the program OliverSoccer may be videotaping or taking photographs. These photos/videos will primarily be used to share on our w ebsite and social media, but may also be included in future promotional brochures or posters. I, ____________________________________, hereby give permission for OliverSoccer to use images of my child on their website or in future promotional material. Medical Provider: ______________________________ Primary Holder: ______________________________ Group/Plan: _________________________ ID _____________________ Phone #: _______________________ Parent/Guardian Signature: _________________________________ Date: ______________________ Mail application and payment to: OliverSoccer, 2304 Aspen Dr, Fayetteville, AR 72703