Jun 19, 2017 - session, (thunder, lightning, hail), we will take the kids inside the park shelter. Parents can pick up t
Hosted by St. John’s Lutheran, Glencoe
Soccer Camp 2017
$30 Registration fee
June 19-23, 2017 Oscar Olson Park Glencoe, MN
ST. JOHN’S LUTHERAN CHURCH 4505 80TH ST. GLENCOE, MN 55336 320-864-3093
Bring or send Application & Payment to:
PARTICIPANT REGISTRATION FORM Parent’s Name _________________________________________________________________________________ Address ________________________________________ City __________________ State _____ Zip __________ Phone Number ____________________________________ Work Phone _________________________________ E-mail address ___________________________________________________________ How did you first find out about this camp?___________________ (Flyer? Friend? Advertisement? Newsletter? Other?)
Anything we should know about the health of any participating children with relevance to the activities we have planned: ______________________________________________________________________________________ _____________________________________ No. of people coming for Barbeque Meal on Friday, June 23______ Who to contact in case of emergency ________________________________ Phone _________________________ 1st Child’s Name ___________________________ Age ______ Grade in Fall 2017 ______ Shirt Size ______ ( YS, YM, YL, AS, AM, AL, AXL )
Jersey Sizes
2nd Child’s Name ___________________________ Age ______ Grade in Fall 2017 ______ Shirt Size ______ ( YS, YM, YL, AS, AM, AL, AXL )
Youth S(30-32”), M(3436”), L(38-40”)
3rd Child’s Name ___________________________ Age ______ Grade in Fall 2017 ______ Shirt Size ______ ( YS, YM, YL, AS, AM, AL, AXL )
Adult S(37-39”), M(4143”), L(46-48”), XL(48-50”)
4th Child’s Name ___________________________ Age ______ Grade in Fall 2017 ______ Shirt Size ______ ( YS, YM, YL, AS, AM, AL, AXL )
Kids must be age 5-13. They are responsible to bring their own proper shoes, shin guards, and sunscreen (recommended). We are providing Soccer Camp Jerseys, cinch pack, water and daily snacks. To cover expenses, there is a $30 fee per child. Make out checks to: “St. John’s Lutheran Church.” Space is limited – first come, first serve. There will be a closing Barbeque Meal for all kids & parents on Friday, 4:00pm!
___ Check ___ Cash ______________ Total amount (please submit payment along with registration) [Scholarships are available to assist with this fee if needed. Contact the church office for more info.] THE PARTICIPANT IS RESPONSIBLE FOR HIS OR HER OWN MEDICAL COVERAGE NOTICE OF WARNING: There is a potential risk in training and participating in any sport, and we have tried to create a safe environment. The coaches have established rules for participation, and proper conduct on or about the playing field must be followed. AGREEMENT: I have read and understand the policies and the risk involved. I hereby agree that my children will follow all rules for good order and safety during this camp. I agree and understand that neither St. John’s Lutheran Church nor any of the volunteers involved are liable for any injuries received while participating or playing in the activity for which I am registering herein, or for the loss or damage to equipment. I agree that I shall make no claim and bring no action, suit, or proceeding for any and all damages, losses, liabilities, or costs in any manner suffered or incurred as a result of my participating in the activity for which I am registering herein, and I hereby release St. John’s Lutheran Church and its officers, directors, and pastor from any and all damages, liabilities, or costs in this regard. PHOTOGRAPHS AND VIDEO: I understand that any pictures or video footage taken of my child by church personnel may be used in future promotion material for the church soccer camp. CANCELLATION POLICY: A fee of $10 applies to all cancellations. If cancellation is received 10 days prior to start of camp, a refund (minus the cancellation fee) will be made. No refunds will be made for cancellations after June 9. No refunds will be given for cancellations due to inclement weather. St. John’s Lutheran Church is not responsible for lost items belonging to participants. WEATHER POLICY: We generally will play through light rain, and ask participants to bring proper clothing and gear. If weather forecast makes it impossible to even begin camp, we will try to have announcements posted on our facebook page (www.facebook.com/stjohnsglencoe). If weather becomes severe after we begin a day’s session, (thunder, lightning, hail), we will take the kids inside the park shelter. Parents can pick up their children during this time if they would like. If the severe weather subsides, the remaining participants will go back onto the fields and continue the camp as scheduled.
I HEREBY CERTIFY THAT THE ABOVE INFORMATION IS CORRECT AND COMPLETE. I UNDERSTAND AND AGREE WITH IT.
_________________________________________________________________ SIGNATURE OF PARENT OR GUARDIAN
____________________________ DATE
