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Roomiany's Soccer Camp Roomiany’s Soccer Camp July28 to July 31 Competitive Camp Instructors: ·
Jamshid Roomiany – ·
And other local
coaches Age: 5th _ 12th
Grade
Time: Cost: Pre-registration
$50.00 – Mail to: On-site registration *Make
checks payable to Roomiany’s Soccer Camp* Where: Questions: Call
Jamshid Roomiany at 232-8741 or soccer rockers 233-5425 First Day: Bring: 1) A Ball 2) Water 3) And be ready to Work! *
Participants will be placed in age and skill appropriate groups with focus on
ball handling, shooting, and dribbling.* _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Roomiany’s
Soccer _______________________________ ______
______________________________ Player’s Name
Age Date of Birth Sex:
M / F School: ________________________________________ Grade: _______ Parents: _______________________________________________________ City, State, Zip Code:
____________________________________________ Family Doctor:
_________________________________
Phone: __________________ Medical History and/or Allergies:
_________________________________________________ ______________________________________________________________________________ Insurance Provider:
_____________________________ Policy Number: _________________ I
verify that my child has been checked by a licensed physician and is physically
able to participate in Roomiany’s Soccer Camp. I here
by authorize the camp staff, directors and sponsors to act for me according to
their best judgment I
agree to hold harmless the camp, its staff, directors, and sponsors of any and
all liability, action, claims, and demands of every kind and nature whatsoever,
which may arise in connection with or resulting from my child participating in
any of the camps activities. Signature of Parent or Guardian: _________________________________Date:_____________ |
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