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Bringing Communities Together [-**mtimn: Ths"ee h{{$*s S*cc*n

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Welcome to the Alberta Soccer Camp Program

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All ASA Soccer Camps are promoted in partnership with your community soccer program and proceeds will be used to support your soccer p-oqram's development.

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CAMP INFORMATION FUL[ DAY: 9:30am-4:30pm Players aged 8-14 years {lncludes t-shirt and baff) HALF DAY: 10:00am-12:00pm Players aged 4-8 years (lncludes t-shirt only)

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. .

ASA Soccer Camp curriculum focused upon individual technique development, fun games and practice scrimmages. Great Prizes and an emphasis on Fun!

Goal: Everyone goes home with a passion and desire to play soccer!

CAMP STAFF

. . .

ASA qualified coaches

with specific camp training First Aid trained and have CPIC police clearance Camp ratios will not exceed a 15:1 ratio

CAMPER NEEDS

. . .

Suitable sports/soccer uniform including shin guards Packed lunch for full day camps. Adequate refreshments, sun-screen and/or rain-proof

clothing. BOOKING A CAMP To register for your local camp, please return this form and payment either to your local camp representative or directly to ASA {see below). There will be a 25% administration fee applied to any cancellations.

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PLEASE PRINT CLEARLY Child's Name: ParentlGuardian: Address:

City

Postal Code

Home Phone #:

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Email

Emergency Phone #:

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Address:

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Birthdate: /d

Gender:M/F

Shirt Size (each player receives one): YXL / Adult

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Camp Location

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Full / Half Day Camp

Camp Dates Alberta Health #: CurrentClubl Team

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behalf

I,

,

child administrators and assigns,

do hereby

release

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his/her heirs, executors, the ALBERTA SOCCER

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ASSOCIATION, and their heirs, executors and assigns from any and all liability for any injury or damage suffered by *y child during or arising out of hisiher parlicipation in the soccer school progrum. ASA uses photography and video images for educational and promotional purposes. These maybe stored at ASA or used at various locations.

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hereby authorize ASA to reproduce images for any

purpose related to their business and promotion of future progpms.

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Signature of parent/guardian

Pavment Info: Camp

Option:

$-( )Cash (

A

D

C

Amount:

(

)Cheque#

) Credit Card

Visa/MC

/ Exp. * Please note: Applications without payment will not be accepted MEDICAL CONSIDERATIONS

:

Please list any medications your child has been prescribed:

Please use the space provided to inform us of any medical

considerations that may aid us to support your child at this camp:

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Injuries

I

Allergies Medical condition Please discuss any concerns

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with the camp director prior to arrival.

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Soccer camp info  
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