Lady Eagles` Soccer Camp 2015
June 11, 2015 9:00am to 1:00pm Join us for a fun day of soccer activities Location: Lady Eagle Soccer Field Cost $20.OO if your registration is received by May 29, 2015 $25.00 after May 29,2015 Camp features: Instruction from Belen High School Girls’ Soccer team Soccer skill work Team work and cooperation skills T-shirt Lunch at Belen High School Belen Fire Truck 1:00pm At Belen High School For boys and girls ages 6-13 Lady Eagles’ Soccer Camp 2015 Campers should wear/bring: Work-out clothes Cleats (if you have them) Water bottle Money for Kona Ice Don’t forget sunscreen! For more information call Coach Crystal Cordova at 505– 966-1816 or 505-304-3438 Make check payable to: Belen Girls’ Soccer Fill out and detach along with $20.00 May be mailed to: Coach Cordova 19383 HWY 314 Belen, NM 87002 ATTENTION: Crystal Cordova ———————————————————————————————————————————————————————————————————————————— PLEASE PRINT: Soccer Camper’s Name __________________________________________________ Parent/Guardian Name_____________________________________________________________ Home Phone__________________ Address_____________________________________ State_______ Zip_________ Age _____ Date of Birth ______________ T-Shirt Size _________________ In case of an emergency name/phone number ____________________________ ____________________________________ Insurance Waiver I hereby approve of my child’s participation in the 2014 Belen High School Soccer Youth Camp. I accept full responsibility for any and all injuries or damages received by the participant. I hereby waive and release the camp director, coaches, and camp workers from any and all liability due to illness or injury incurred while participating in this camp. I hereby authorize the directors of the BHS soccer camp to act for me according to their best judgment in any emergency requiring medical attention. Parent/Guardian Signature_______________________________________________________________
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