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The Pacesetter Soccer Club
Soccer Excellence Since 1980
DAY CAMP (Ages 6-14)
Pacesetter Park
Brian Cairns Training Field
8801 Sylvania Metamora Road
Sylvania, OH 43560
www.pacesettersoccer.com
(Mail registration to 5400 W. Central Ave. Toledo, OH 43615)
SUMMER 2015
COED DAY CAMP
Day camps are open to boys and girls ages 6-14. The focus is on
fundamental technical instruction in a relaxed and fun learning
environment. Pacesetter staff coaches will conduct all training. Camp
will run Monday- Friday from 9:00am- 11:00am.
June 15 - 19
For more Information please call or email Technical Director, Greg Acuna
[email protected]
419-957-8139
COST: $100
9:00am- 11:00am
Includes T-shirt!
Small- sided games and an excellent coach- to- camper ratio highlight
this weeklong camp.
DAY CAMP REGISTRATION
Player Name:
Consent for Medical Treatment (Minor)
Address:
I hereby give my consent to have a coach, athletic
trainer, emergency personnel and/or doctor of
medicine or dentistry provide my son/daughter with
medical assistance and/or treatment and agree to be
responsible financially for the reasonable cost of such
assistance and/or treatment.
City, State, Zip:
Phone:
Parent’s Name(s):
Email:
Age:
Date of Birth:
Signature: _________________________________
Parent/ Guardian
Gender:
M
T-shirt Size: YS
Date:
F
YM
YL
AS
AM
AL
AXL
Liability Waiver
I, the parent/ guardian for __________________
_____, release, discharge, and/or otherwise indemnify The
Pacesetter Soccer Club and its employees for the academy for which I am registering my child to participate.
Signature: ____________________________________
Date: ________________________
Parent/ Guardian
Please mail or drop off registration form with a check payable to The Pacesetter Soccer Club to:
The Pacesetter Soccer Club • 5400 W. Central Ave. • Toledo, Ohio 43615 • PSC Office 419-885-3140