MASON
Future Stars Soccer Academy
Spring 2017
As one of the very best soccer communities in the state, Mason has enjoyed
tremendous success at the high school level because of talented players who have
started right here in our community.
THE ACADEMY
Mason Future Stars Soccer Academy is a low-cost, fun, developmental environment
where Mason youth soccer players will learn and implement fundamental soccer
skills. The goal of this program is to connect Mason’s current stars – the varsity
team, to its future stars – our youth. Through a series of four, 90 minute, sessions
the youth will have the opportunity to interact with and learn the game of soccer
from the champions and their coaches.
THE PARTICIPANT
All Mason youth, kindergarten through fifth grade, regardless of skill or experience,
are welcomed and encouraged to participate.
THE STAFF
The sessions are developed and led by the Boys/Girls Varsity Soccer Coaches at
Mason High School in coordination with the Mason Soccer Club. Academy activities
will be demonstrated and supported by the boys/girls varsity team. All scrimmages
will be coached by a varsity player.
THE DATES AND TIMES
All spring 2017 sessions will take place in April and May, on Friday nights from
5:30 – 7:00 p.m., on these dates:
April 21 – April 28 – May 12 – May 19
THE LOCATION
All sessions will be held at Mason High School varsity soccer practice field, located
on the northwest side of the High School. Please park in staff parking lot, located
west of the main entrance.
THE COST
The charge for the academy will help offset expenses of the academy and support
the varsity teams. The full, four-week registration is $30, or $10 per session.
THE SIGN UP
Please complete and return the registration form on the back of this flier. For more
information or for another registration form, visit www.masonsoccerclub.org,
or contact Greg Rodgers, [email protected] or 517-525-4570.
Mason Soccer Club
Future Stars Soccer Academy
Please mail registration to:
Or Email to:
MSC – Greg Rodgers
[email protected]
PO Box 393 Mason, MI 48854
*registration fees paid by cash or check at session sign in*
Player Information:
____________________________________________
Last Name
____________________________________
First Name (and nickname, if appropriate)
Gender: M F
____________________________________________
Street Address
____________________________________
City and Zip Code
______________________
Date of Birth
____________________________________________
Email Address
____________________________________
School
______________________
Current Grade Level
____________________________________________
Mother’s Name
_____________________________
Home Phone Number
_____________________________
Cell Phone Number
____________________________________________
Father’s Name
_____________________________
Home Phone Number
_____________________________
Cell Phone Number
____________________________________________
_____________________________ _____________________________
Emergency Contact:
Home Phone Number
Cell Phone Number
_____________________________________________________________________________________________________________
Medical Information (allergies or limitations):
Registration Sessions & Fees: Please register early if possible to ensure sessions are staffed and activities
planned appropriately. Onsite registration will be available for each session.
Session Fees
Check box to
indicate desired
sessions
All sessions
Session #1
1v1 Attacking
Session #2
1v1 Defending
Session #3
Combination
Attacking
Session #4
Finishing
$30
$10
$10
$10
$10
April 21
April 28
May 12
May 19
Session dates
Make checks payable to: Mason Soccer Club. Checks returned for non-sufficient funds will be charged a $40 service fee.
Consent to Participate:
I recognize and acknowledge that I am responsible for the safety and conduct of my minor child/ward before, during and after the activities of the Mason
Soccer Club (MSC) and the Mason Future Stars Soccer Academy. I recognize and acknowledge that there are certain risks of physical injury to
participants in the activities of the MSC and the Mason Future Stars Academy and I voluntarily agree to assume the full risk of any and all injuries,
damages or loss that my child/ward may sustain as a result of said participation. Furthermore, I understand that the MSC or the Mason Future Stars
Academy does not provide medical insurance for participants.
I agree to waive and relinquish all claims against the MSC and the Mason Future Stars Soccer Academy, its directors, administrators, officials, coaches,
volunteers, sponsors and other participants that my child/ward or I may have (or may accrue to my child/ward or me) as a result of participating on these
activities. I hereby give my consent for my child/ward to participate in the soccer program of the MSC, including the Mason Future Stars Academy under
the conditions specified above.
MSC
use only
Date
Parent/Guardian
Signature
Check Number
Amount
Date