Watkins Memorial Youth Soccer Camp

Watkins Memorial Boys’ Soccer Team, in conjunction with the Watkins Memorial Athletic Association, will be conducting a summer soccer camp that will teach the fundamentals and skills to help your child improve on the soccer field! The camp will be conducted by the high school boys’ soccer staff, as well as current and alumni players. Who: Open to boys and girls ages 5-15 years old Dates: Mon, June 27th – Wed, June 29th from 6:00-8:30pm (In case of severe weather, camp will conclude on Thurs, June 30th) Where: Watkins Memorial H.S. Soccer Fields in Pataskala Cost: $60.00 per player Bring: Shoes, shin guards, soccer ball and plenty of water

Please complete the registration below and return to: Corey Kirk, Head Coach – Boys’ Soccer Program Watkins Memorial High School 8868 Watkins Road Pataskala, OH 43062 PLEASE MAKE CHECKS PAYABLE TO: Watkins Athletic Association/Boys Soccer Do not send registration & check by mail after June 15h; registration is available on first day of camp ------Registration & Release of Liability *Please Register By Wednesday, Jun15, 2016*

Camper Name: ______Age: ______Phone: ______

Parents Name: ______Email: ______

Emergency Contact: ______Phone: ______

T-Shirt: Youth – XS___ S___ M___ L___ XL___ Adult – XS___ S___ M___ L___ XL___ XXL___

By signing below, I hereby release my child to participate in this camp, and I do not hold the school, the school district, or any person affiliated with Watkins Memorial High School or this camp responsible for any injury or accident that may occur while he/she participates in this camp.

______Parent/Guardian Signature Date