REGISTRATION
Detach, complete both sides, & submit with fee
by 5/31/11 as indicated below..
I hereby give permission for my child to participate in the
EAST Soccer Camp. I certify that my child is physically fit
and able to participate in strenuous physical activity. I
hereby waive, release, absolve, forever discharge camp staff
from any claim as a result of my child’s participation in
camp. I voluntarily and knowingly acknowledge, accept and
assume the risks that come with a physical activity
EAST SOCCER
CAMP
TRAIN HARD
PLAY HARD
LEARN & DEVELOP SKILLS
HAVE FUN!
____________________________________
Parent/Guardian Signature
Date
JUNE 20—24, 2011
GIRLS & BOYS
3RD - 8TH GRADE
I hereby give permission for my child’s images/photographs
to be used by EAST Soccer Camp for news releases, flyers,
advertising, brochures, and other media for
informational or promotional purposes.
DOWNINGTOWN, PA
____________________________________
Parent/Guardian Signature
EAST
SOCCER
CAMP
TEAM, SIBLING, EARLY REGISTRATION
DISCOUNTS AVAILABLE
Date
Register by May 31, 2011
$265 per camper
Discounts available:
Team - $25/player for teams of 10 or more
registered players
Siblings - $25 /sibling after first full-paid sibling
Early Registration & Payment $35 by 3/31/11; $25 by 5/1/11
Discount offers cannot be combined
Mail completed form and fee to:
DEHS Girls Soccer Booster Club
c/o Mariann Houpt
93 Glendale Road
Exton, PA 19341
Make checks payable to
DEHS Girls Soccer Booster Club
PROFESSIONAL STAFF
TRAINING
GIRLS & BOYS
3RD-8TH GRADE
www.dehssoccer.com
SPONSORED BY
STAFF
CRAIG REED
Head Coach, DEHS Girls Soccer
Director, Total Soccer (Downingtown)
Coach, ODP (EPYSA)
Head Coach, Vincent United FC
RYAN LEVINE
Assistant Coach, DEHS Girls Soccer
Goalkeeper Trainer
Former Player/GK, West Chester University
GARY CHRISTOPHER
Head Coach, Villa Maria Academy
Director, Athletic Performance Academy
Speed, agility & strength training
DOWNINGTOWN EAST
GIRLS SOCCER
BOOSTER CLUB
UNDER DIRECTION OF CRAIG REED
OPEN TO GIRLS & BOYS
AGES 8 TO 14
(3RD THROUGH 8TH GRADE IN FALL 2011)
FUNCTIONAL TECHNICAL & TACTICAL TRAINING
PROVIDED BY PROFESSIONAL STAFF
THROUGH FUN, CHALLENGING
EXERCISES AND GAMES
IN A POSITIVE ENVIRONMENT
SPEED TRAINING FOR ALL PLAYERS
GOALKEEPER TRAINING AVAILABLE
DISERAFINO STADIUM
445 MANOR AVENUE, DOWNINGTOWN, PA
STATE-OF-THE-ART FACILITY
REGISTRATION
Detach, complete both sides, & submit with fee
by 5/31/11 as indicated on reverse side.
Camper______________________________________
Gender:
M___ F___
DOB ___/____/____
Grade (Fall 2011)___ School _____________________
Soccer Club & Team____________________________
Position__________ ODP Experience______________
T Shirt Size: YL___ YXL____ AS____AM___ AL___
Campers receive a t-shirt
Address
_____________________________________________
_____________________________________________
Home Phone # ________________________________
Coach, Spirit United Soccer Club
KIRK JOHNSON
Former Head Coach, DEHS Boys Soccer
Head Coach, FC DELCO
Former Player, Syracuse University
& Downingtown High School
ALY EDWARDS
Head Coach, Spirit United Soccer Club
Former Player, West Chester University
& Downingtown High School
ADDITIONAL TRAINERS TBD
DEHS Girls Soccer Players
on site to demonstrate & assist trainers
Monday June 20 -Thursday June 23, 9:00-2:30
Friday June 24, 9:00-12:00
Register by May 31, 2011
$265 per camper
Discounts available:
Team - $25/player for teams of 10 or more
registered players
Siblings - $25 /sibling after first full-paid sibling
Early Registration & Payment $35 by 3/31/11; $25 by 5/1/11
Discount offers cannot be combined
BRING: SOCCER BALL, CLEATS,
SHIN GUARDS, SNEAKERS, SUNSCREEN,
DRINK & LUNCH
For further information, contact Mariann Houpt at
[email protected]
Parent/Guardian Cell # __________________________
Email (required)________________________________
Emergency Contact Name & Reliable Phone #
_____________________________________________
Insurance Provider & Policy #
_____________________________________________
Medical Concerns, Allergies
_____________________________________________
_____________________________________________
Please read and complete reverse side