’17 Summer Soccer Academy



FOR 7th-12th GRADERS



DATES: June 5 th – 9 th (Monday-Friday) TIMES: 11am-1:00pm REGISTRATION INFO: $125.00 (Donation made to Stallions Boosters)





COMPLETE THE BOTTOM HALF OF THIS FORM AND MAIL TO: Peter Carey, Head Soccer Coach 32158 Camino Capistrano Suite 210 San Juan Capistrano, CA 92675



YOU CAN ALSO BRING THE REGISTRATION & PAYMENT TO COACH CAREY





LOCATION: San Juan Hills High School Camp Focus & Goals:



SJH Attacking & Defending Principles Agility & Speed Training

Soccer related skill work Soccer specific conditioning

*For more information, please email [email protected] or visit www.sjhstallions.com/camps







Checks payable: Stallions Boosters





First Name:

Address:

City:

Home Phone:

Fax:

Cell Phone:

Work Phone:

Initial: Zip: Grade in fall 2016:

Cash $ Check $

Credit Card $

PLEASE PRINT Student Last Name:



Payment:

Date:



Email: Current School:

Date of Birth:

Parent’s Name: Emergency Contact: Name, Address, Phone (If parent cannot be reached):





Medical condition(s) we should be aware of:

Medical Policy Group Number:

Insurance

Credit Card Payment

Carrier: Number:

To pay by credit card visit: sjhstallions.com/camps Find your sport on the list and make the donation using our online registration