2013 Augustana College First Touch Elite Soccer Academy

ACADEMY LOCATION 2013 Augustana College All First Touch Elite Soccer Academy sessions First Touch Elite will be held on the campus of Augustana Col- lege. All sessions will be held at Thorson Lucken Soccer Academy Field. Participants are encouraged to bring out- door soccer shoes, gym shoes, shin guards and a water bottle. FIRST TOUCH ACADEMY PROVIDES Mail all materials with check (payable to AC First Touch Elite Soccer Academy) to the following address Academy soccer ball or register online at www.augustana.edu/ soccercamp Academy t-shirt AUGUSTANA COLLEGE FIRST TOUCH ELITE SOCCER ACADEMY Academy sack pack Attn: Scott Mejia AND 639-38th Street Rock Island, Illinois 61201-2296 Top quality instruction from nationally licensed coaches Phone 309.794.7398 Fax 309.794.7525 Special instruction from advanced collegiate Payments received after June 5th will be players assessed a $10.00 late fee. High quality training facilities No refunds will be given for cancellations made within 2 weeks of the camp start date. All sessions are limited to 100 campers each so DATES AND TIMES send your registration in early to hold a spot! June 10-13 9:00am-11:00am @ Thorson-Lucken Developing and promoting soccer for boys and girls in the Quad Cities. June 10-14 9:00am-12:00pm @ Thorson-Lucken June 10-13 — Ages 4-6 July 15-19 9:00am-12:00pm @ Thorson-Lucken June 10-14 — Ages 7-14 July 15-19 — Ages 7-14 Advanced Full Day Camp August 5-8 — Ages 13-18 Register online by visiting August 5-8 9:00am-3:00pm @ Thorson-Lucken www.augustana.edu/soccercamp CAMP PHILOSOPHY CAMP DIRECTOR REGISTRATION FORM First Touch Soccer Academy is Coach Mejia has been Circle the session you desire: Time Cost designed for boys and girls working with summer Session I - June 10-13 9:00 am-11:00 am $75.00 soccer players that are just soccer camps in the Session II - June 10-14 9:00 am-12:00 pm $95.00 learning the game, as well as Midwest region for Session III - July 15-19 9:00 am-12:00 pm $95.00 advanced soccer players look- the last 20 years. He has Session IV - August 5-8 9:00am-3:00pm $155.00 ing to improve their technical worked with the University All tuition is due no later than June 5th Total: and tactical abilities. All play- of Wisconsin-Madison, ers will receive individual UW-Parkside and with Camper's Name_______________________________________ attention in a fun, yet chal- several other premier Street Address________________________________________ lenging learning environment. residential and day camps throughout Wisconsin, City________________________State_______Zip___________ First Touch Soccer Academy will focus on all the Illinois and Minnesota. Now, Mejia is bringing his Phone (_______)______________________________ major aspects of the game necessary to improve expertise to the Quad-City area! and reach the next level of development. Tech- Age____________Birth Date____________________________ nical training (skills) and tactical situations will be The Mejia file: Male □ Female □ addressed and taught according to guidelines set ~ Head Women's Soccer Coach, forth by the United States Soccer Federation. Indi- Youth t-shirt size: Adult t-shirt size: Augustana College vidual tactics and small group tactics will also be Sm □ Md □ Lg □ Xlg □ Sm □ Md □ Lg □ Xlg □ taught and implemented through small-sided ~ Head Men’s Soccer Coach, Quad City Eagles, NPSL Parental Contact_____________________________________ scrimmages at the end of every day. Small-sided Semi-Professional Team games will ensure that all participants are involved Home Phone (_______)___________________________ in the action, thus maximizing contact with the ~ Former Head Men’s Soccer Coach, ball and increasing the amount of "problem solv- Augustana College Day Phone (_______)_____________________________ ing" each player must engage in. This approach Family Medical Insurance Company: has yielded tremendous results globally and is tru- ~ USSF National "A" License ________________________________________________ ly the key in developing creative, exciting and so- ~ USYSA Region II ODP Staff Member Policy Number____________________________________ phisticated soccer players. ~ NSCAA Advanced National Diploma Email Address____________________________________ While camp director, Scott Mejia, will direct and I certify that_____________________________has my permission coach the majority of the training sessions, other ~ College Conference of Illinois and Wisconsin to participate in the Augustana College First Touch Soccer Academy. highly qualified coaches and current Augustana Coach of the Year 2002, 2006, 2009, 2012 I further certify that the above player has medical insurance in case College men’s and women’s soccer team members of injury or emergency. I hereby grant permission to officials of the will be used to facilitate the learning process. All ~ NSCAA Regional Coach of the Year 2009 Augustana College First Touch Soccer Academy to act for me accord- coaches will be selected for their ability to work ~ Former collegiate standout: ing to their best judgment in any emergency requiring medical with youth players, their ability to teach the game attention. Furthermore, I hereby waive and release Augustana Col- of soccer and their ability to be a positive role lege First Touch Soccer Academy, Scott Mejia, Augustana College, its 3x All-Conference Selection 1993, `94, `95 model for all participants of First Touch employees, agents, officers and staff for any accident or injury sus- NSCAA All-Midwest Team 1995 Soccer Academy. All-Great Lakes Regional Team 1994 tained while at camp. Signature: .

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