1. KETTLE RUN SOCCER CLINIC
When: Saturday, Feb. 19th
Time: 9-2:30
Cost: $35
Who: Anyone grades 7-12 that would like to get a head start on the spring soccer season!
Return With Payment:
Name:______________________________
Grade:______________________________
T-Shirt Size: S M L XL
Address:_______________________________________________________________
Phone:_____________________________
______________________________
Make Check Payable To:
KETTLE RUN HIGH SCHOOL
Forms must be received by 2/10/11!!
PARENT/GUARDIAN AUTHORIZATION:
My son or daughter is physically capable of participating in the clinic and I hereby approve of my child’s participation in the clinic. I authorize the sports medicine trainer and directors to act for me using their best judgment in an emergency requiring medical attention, for which service I agree to pay. Please attach a note explaining any physical limitations and/or conditions requiring medication.
__________________________________________
Parent Signature
PERSON TO CONTACT IN CASE OF EMERGENCY:
NAME:_____________________________
PHONE/CELL:________________________
How To Enroll
Complete and return this form along with payment to:
Philip Roper
7403 Academic Avenue
Nokesville, VA
Forms must be received by 2/10/11 in order to attend the clinic.
FEES:
$35 – checks/money orders made payable to Kettle Run High School c/o Soccer Clinic
* price includes clinic t-shirt
What To Bring
*Bag lunch (drink and/or snack)
*Cleats and shin guards
*Indoor shoes if forced indoors due to inclement weather
*Positive Attitude
Questions?? Contact Philip Roper:
Phone: ext. 3054
Items of Interest
Clinic will be broken down into 2 segments:
* 9-11: Technical skills and strategies of the game (goalkeeper training will also be available)
* 11: Lunch
* 12-2: Small-sided games
Athletic Trainer on staff
Morning Drop-off
Players are to be dropped off on the KRHS bus loop for check-in between 8:30 and 9:00