Gain Soccer Skills, Develop Motor Skills, Have Fun, and Learn the TinyTykes Theme Song! FUNDAMENTAL SOCCER SESSIONS FOR AGES 2-5 Coppell Youth Soccer Association is proud to offer Challenger Sports’ TinyTykes Program in association with Challenger Soccer Academy. Dates: 03/04 - 04/15/2017* TinyTykes is a new and exciting program that teaches basic soccer skills while developing strength, balance, coordination, listening skills and teamwork for children aged 2-5. The curriculum has been developed by soccer experts, child development professionals and experienced coaches, ensuring a positive soccer experience for your child! Times: Team Cubs (Ages 2-3) 9:00 - 9:45am Team Lions (Ages 4-5) 9:45 - 10:30am Location: Wagon Wheel Park Packages: $91 - Includes 6 Classes & a choice of; Join us for 6 weekly 45 minute sessions, Uniform & Soccer Ball, Backpack or coached by licensed & Professional Soft Toy. British or Brazilian coaches. Register $81 - Includes 6 Classes & Soccer Ball online today! Only. *No session March 18th - Spring Break Child Name_______________________________________________________ *No refunds for cancellations less than 10 days prior to the program. Payment in Full - Program Fee Enclosed (or enter credit card details at bottom of page) Child Age _________________Male _____ Female _____ D.O.B. _________ Organization Name _CYSA__ Program Date 03/04 - 04/15/17 $_____________________________________ Check number_________________ Uniform & Ball YXXS (2T)_____ YXS (3T)_____ YS (4T)_____ YM (5)_____ Checks payable to Challenger Sports Backpack ___________ Soft Toy ___________ Soccer Ball Only_________ Email ______________________________________________________________ I hereby release Challenger Sports and any hosting organization from any and all claims and liability of any kind of personal injury or property damage due to participation in this camp. I understand that participation in sports camps include physical contact and certify that my child is in good health and able to participate in all activities. I agree to notify the coaching staff of any preexisting medical or psychological conditions. If attention is required for illness or injury, I give my permission to a staff member for such care. I give my consent for my child to be photographed or video taped while participating in camp activities and for the resulting images to be used by Challenger Sports for promotional purposes. Emergency Contact ________________________ # ________________________ Parent Signature ______________________________ Date__________________ Parent/Guardian _____________________________________________________ Address ____________________________________________________________ City _____________________________________ St _______ Zip _____________ Phone _____________________________________________________________ [ ] Yes, we are interested in hosting a coach. Name on Credit Card ________________________ Card Brand________________ Card # ___________________________________ Exp. Date ______ CVV # _____ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Credit card information will be destroyed immediately after processing. For more information please contact: George Williams - 469-713-2740 [email protected] ONLINE REGISTRATION IS AVAILABLE AT WWW.CHALLENGERSPORTS.COM
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