Registration Form Coaching Staff 9 am – 2pm $110 9 am – 12pm (Age 5-8)* $85 June 18-22 Boys & Girls: Ages 8-14 Clear Creek Park, Shelby County 9 am – 2pm $110 9 am – 12pm (Age 5-8)* $85 June 25-29 Boys & Girls: Ages 8-18 Floyds Fork Park 9 am – 2pm $110 9 am – 12pm (Age 5-8)* $85 Goalkeeper Camp June 25-29 Boys & Girls: Ages 8-16 Floyds Fork Park 9 am – 2pm $110 9 am – 12pm (Age 5-8)* $85 June 4-8 Boys & Girls: Ages 8-14 Seneca Park * Half-day camp is an option for ages 5-8 Name: Address: Phone: DOB: Cell Phone: Email: The parent or guardian signing the following permission slip will be contacted in the event of an emergency. I, the parent or guardian of the participant above hereby authorize the agents, officers, and employees of the United 1996 Soccer Academy camps to act for me according to their best judgment in any emergency requiring medical attention, and hereby waive and release agents, officers, and employees of the United 1996 Soccer Academy camps, owners and or of facilities, from any and all liability, injuries, illness or loss of property incurred while attending camp. Parents/guardians must inform the camp director of any special health needs. United 1996 Soccer Academy reserves rights to cancel due to lack of campers. Parent/Guardian /Signature Return to United 1996 Futbol Academy 11017 Symington Circle Louisville, KY 40241 Jan Franson Girls Coaching Director Jan has been coaching with United 1996 F.C. for eight years and currently holds the USSF "D" license. Born in Norway , he grew up playing the sport and advanced to play on his regional team from the ages of 13-16. Since coming to United 1996 F.C., he has head-coached and assisted in coaching both boys and girls ranging in age from 10-16 years. He is currently part of the Kentucky ODPG coaching staff. Craig Jones Craig is in his sixth season as Head Men’s Soccer Coach at Hanover College where he has amassed school records for single season and all-time wins. He played collegiate soccer at Western Washington University where he led the Vikings in scoring and was an All-Conference standout his junior and senior seasons. Jones came to Louisville to pursue his Masters in Sport Administration from U of L and has coached competitive soccer in the area for the past 10 years. He was the top assistant at Bellarmine University for two seasons before taking over the head coaching duties at Hanover. Coach Jones holds his USSF “B” license and heads the 92 Internationals for United 1996 F.C. Craig was also voted “Coach of the year” in the Heartland Collegiate Athletic Conference in 2006. David Gross This is David's third season coaching for United 1996 F.C. A long-time player with the '86 Boys, David is the first United 1996 F.C. player to return to the club as a coach. David holds the USSF National Youth Coaching License and his USSF "D" level Coaching License. Anatoly Berezov Anatoly Berezov's extensive experience includes professional and youth soccer clubs in Moscow, including professional team Nika Futbol Klub, and youth clubs Trudovie Rexervi, Central Club F.S.H.M., and Chertoanovo. He has coached many players who have gone on to the Russian National Team and Junior National Team, as well as professional club Teams in Germany, Portugal, and Russia. Coach Berezov holds a Soccer Coaching degree from the State Central University of Physical Culture in Moscow, Russia. T.M. Coaching Staff Muhamed Fazlagic General Manager Muhamed came to this country in 1995 and settled in Louisville to be closer to members of his family. Muhamed founded United 1996 F.C. in the summer of 1996, serving as director of coaching, and quickly brought in an outstanding coaching staff. Muhamed holds the USSF "A" license and the NSCAA Advanced National Diploma. He also holds the Royal Dutch Soccer Fedederation Advanced National Diploma. He has been on the coaching staff of the Region II ODP (Olympic Development Program) since 2004. Muhamed has completed first part of theUnited European Football Association ‘A’ Coaching License School .in Great Britain. Muhamed holds a Master of International Administration and Development degree, and is the associate head men’s soccer coach at Bellarmine University. Thabane Sutu Goalkeeper Coach Thabane has been the goalkeeper coach for United 1996 F.C. since 2001. He anticipates getting his NSCAA Advanced National Goalkeeping Diploma this summer. His professional experience includes Arsenal Football Club in Lesotho, Southern Africa, and the National Sporting Club, "Al-Ahly" Egypt. He represented Lesotho in U16, U20, U23 and captained the Senior National Team from 1994 until 1997. Major Honors include the African Cup Winners Cup with Al-Ahly (as a backup goalkeeper) in 1993 against Africa Stars of Ivory Coast, winning the Arab League Tournament with Al- Ahly in 1995, and League Champions with Al-Ahly from 1994-1996. Girls & Boys Pre-Competitive Camp The emphasis for this camp is on learning through fun. This camp is offered to the young soccer player with the goal of playing Select Soccer, or to improve his/her basic skills of the games. Correct ball handling techniques are introduced along with the start of the basics of team play and positions. The girls/boys will scrimmage against each other on small-sided fields. The goal is to give all players as many touches as possible on the ball while being instructed on the correct methods for the development of good soccer techniques 4 v 4 Dutch Soccer System By putting players into small-sided games, they will develop the appropriate foot skills, field vision, understand of effective positioning, and learn the possession style of soccer for which United 1996 Futbol Club teams are recognized. Half-Day Option Boys and Girls ages 5-8 may choose a half-day option, 9am to 12pm, for any of the camps. The half-day option is $85.00. Camp Equipment These camps are offered to the soccer player striving to play middle school and high school soccer. These camps will focus on the improvement of the technical as well as the tactical aspects of the game. Each camper will receive a complimentary Nike T-shirt. All campers are required to bring proper playing equipment including water, cleats, shin guards, extra socks, ball, sun screen, etc. Campers should also bring two T-shirts: One dark and one white or light colored. Those campers that will be attending all day camps should also bring snacks and lunch. This camp will place middle school age soccer players in an environment that prepares them for what is required to play at the next level. Contact Middle School Soccer Camp This camp will advance the camper’s knowledge of the more detailed aspects of the game through several means including coaching sessions, discussion, college and professional demonstrations. Campers will scrimmage in both small-sided games and full field competitions. Goalkeeper Camp Goalkeeper Camp is designed to help young athletes to gain the skills necessary to compete at higher levels, primarily Select Soccer and High School. The camp will be conducted by Thabane Sutu, former Lesotho National Team Goalkeeper. Thabane is a well-known master of Goalkeeping in the greater Louisville area. Potential campers will have a lot of fun and will learn even more! Jan Franson 502.641.8018 [email protected] Muhamed Fazlagic [email protected] www.united1996fc.com United 1996 Futbol Club
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