www.puretouchsoccer.com
AND
2013 SUMMER SOCCER CAMP
LOCATION: PICKERING COLLEGE; 16945 BAYVIEW AVENUE, NEWMARKET, ONTARIO
TWO WEEKS ONLY - August 12-16, 2013 (All levels welcome) &
August 19-23(Advanced/Elite level only), 2013
BOYS & GIRLS - AGES 8 AND UP
Camp is designed for players who are looking to improve their coordination, strength and
skills. Pure Touch offers creative and challenging drills/games to improve ball control,
shooting, passing, dribbling. Players will be put into groups based on their age and
skill level. Full Days only.
Schedule
8:30 am
9:00 am
12:00 pm
1:00 pm
2:00 pm
4:00 pm
Drop off
Demonstrations by Coaches & Staff & technical training
Hot & Cold Lunch is provided in the Pickering College Dining Hall
Tactical overview
Tactical training & small sided games
Pick up
Prices (Lunch is included)
One W eek - $350
Two W eek - $650
Family (2 or more players) – 5% off second child
REGISTRATION FORM - 2013 SUMMER CAMP
Player:_________________________________________________
Age:_________ Level:___________ Current Team:____________
Address:_______________________________________________
City:___________________ Phone:_________________________
Email:_________________________________________________
Guardian(s):____________________________________________
Emergency Contact #____________________________________
Allergies/Ilnesses: _______________________________________
Camp Week(s): _________________________________________
Health Card #:___________________________________________
Amount Enclosed:_________ How did you hear about us?___________
Please make cheques payable to:
Pure Touch Soccer Academy, 99 Townwood Drive, Richmond Hill, Ontario, L4E 4T2
Please send registration form and cheque to Pure Touch Soccer or drop them off at
Pickering College-Main entrance-Reception
CONTACT PURE TOUCH SOCCER:
CONTACT PICKERING COLLEGE:
Tel: (416) 678-1770
Email: [email protected]
Website: www.puretouchsoccer.com
Tel: (905) 895-1700
Website: www.pickeringcollege.on.ca
Academic Excellence-Summer Programs
Registration and Refund Policy:
Once payment is received, your spot is reserved and therefore limiting space to other players. We
do not issue refunds for sessions.
*Pure Touch Soccer Academy and Pickering College reserves the right to cancel any camps due to
low enrolment.
Parent/Guardian Acknowledgement 2013 Summer Camp
I hereby personally and as a parent/guardian of the applicant release Pure Touch Soccer Academy and
Pickering College (individually and together hereinafter referred to as the “Camp” which term includes its and
their officials, directors, officers, executives, employees, agents, and related corporations/entities) from any
and all actions, claims, demands or lawsuits arising from any injury, accident, loss or damage to the player
and/or his/her property arising during or connected, directly or indirectly, to the player’s attendance at and/or
participation in any games, practices, or any other Camp activities or while en-route to or from any games,
practices, and/or Camp activities. I acknowledge and agree that the player attends the Camp and participates
in its activities at his/her own risk. Also, by the signature below, I certify that the information given in the
application is true and accurate.
I, the Student's parent/legal guardian, consent to the Camp’s use of photographs/film footage of the
campers for lawful promotional purposes for in-school or external media publications, websites,
multimedia and social media should such an opportunity arise. In keeping with privacy legislation, it
is entirely reasonable for a parent or legal guardian to request that photographs/film footage not be
taken or used without consent. I/we agree it is my/our responsibility to speak to the Director of Pure
Touch if I/we do not consent to the use of my/our child's likeness.
I agree that the School can collect, use and disclose to other departments at the School, personal
information about us/me and my/our family for use in the operation and support of the School. I/We
may at any time inquire how my/our information is being collected, secured and used.
My signature on this application further gives the Camp Director/Designate permission to transport the player
to a nearby physician or hospital, and to authorize medical treatment, including ordering the administration of
medication, injections, anesthesia, surgery, or any other medical procedures deemed necessary in the
circumstances by the treating physician in the event the player becomes ill or is injured while attending or
participating in Camp activities. I understand and agree that where possible, the Camp will attempt to notify
me before seeking and obtaining medical attention. However, if I cannot be contacted or in the event of an
emergency, I authorize the Camp to obtain immediate medical treatment for the player and to notify me as soon
as possible. I agree to reimburse the Camp for any additional expenses that may result from the provision of
the above medical services and/or transportation for medical care. I also confirm that the player is covered by
the Ontario Health Insurance Plan or equivalent medical insurance. I hereby release and discharge the Camp
from any and all claims of any nature whatsoever, which may arise out the decision to provide emergency
medical care, dental care or hospitalization to the player.
I hereby authorize the Camp to require the player to comply with any reasonable rules, standards of
behaviour or instructions. I agree that the Camp has the right to enforce such rules, standards of
behaviour or instructions and has the further right to terminate the player’s participation in the
Camp at any time when the Camp considers the conduct of the player incompatible with the interest,
harmony, comfort or welfare of other participants or the player’s own safety or welfare. I further
agree to defend and indemnify against any claim, damage, loss or expense of whatever kind or
nature that the Camp may have to pay that arises from the player’s intentional, grossly negligent or
reckless acts or omissions while participating in the Camp.
Signature
Name Printed
Date
FOR OFFICE USE ONLY
CASH/CHQ:amt
no.
RECEIVED BY:
DATE: