2007 Finishing Touch Registration Form

Please print registration form, fill it out, and send to:    Finishing Touch Soccer

6 Beech Hill Drive

    Newark, DE  19711

 

A $20 non-refundable down payment is required to reserve a placement at camp.  Registration balance is due first day of camp. 

 

 Make checks payable to:  Greg Gerken

 

If you have any questions, email Finishing Touch Soccer at:   mggerken@comcast.net

 

Camper’s Name: __________________________________________

 

Age of Camper: _____________________        Gender: Male  or Female

 

Mailing Address: __________________________________________

                         

                         __________________________________________

 

Email Address: ___________________________________________

 

Home Phone Number: _______________________

 

Emergency Phone Number:____________________

 

Parent or Guardian’s Name:__________________________________________

 

Where did you hear about Finishing Touch?:

 

__________________________________________

 

T– Shirt Size:  (Circle One) 

 

Youth Small        Youth Medium     Youth Large

                     

Adult Small      Adult Medium     Adult Large

 

Ball: (Circle One) I want to purchase the camp ball

 

                             I will bring my own ball

 

Please circle which week of camp you will be attend:

 

2007 Finishing Touch Soccer Camps Locations
Date Where Age Price

July 14-18

9:00-3:00

 Sanford School   Hockessin, DE 9-14  $120

July 14-18

5:30-8:00

 Sanford School   Hockessin, DE 7-9 $75

TBD

 Severna Park HS  Severna Park, MD 14-18 TBD
       

 

PARENT PERMISSION AND  CERTIFICATION OF ACCIDENT AND HEALTH INSURANCE

 

___________________________ has my permission to participate in the Finishing Touch Soccer Camp. I hereby assume the risk of all accidents and of all personal injury and any other loss or damage which he/she may suffer while attending this camp.  I hereby absolve Finishing Touch Soccer and its coaches and other volunteer workers, from all liability of any personal injury, loss or damage that he/she sustains as a result of him/her being injured while participating in Finishing Touch Soccer Camp activities.  I also certify that my child is covered under an accident and health insurance policy which covers his/her participation in this camp.

 

__________________________________                        ________________________________

Parent Signature                                                                        Date