girls soccer camp clinica de futbol para ninas

GIRLS SOCCER CAMP
CLINICA DE FUTBOL PARA NINAS
Spring break 2015
@ Orchard Middle School Field, Wenatchee
@ Orchard En La Escuela
______________________________________________________________________________
______________________________________________________________________________
*Cleats & shin guards are required!
*Don’t forget a water bottle
* Traer Botines y espinillas se require
*Traer bottella De aqua
Question? Contact clinic coordinator Cindy Abouammo
[email protected] or call 509-881-7089
Pareguntas? Comuniquese con Cindy
O llame Al 509-881-7089
UNITING PASSION, UNITING COMMUNITIES, UNITING COMPETITION
SPRING SOCCER CAMP REGISTRATION FORM
REGISTARD PARA CLINICA DE FUTBOL
Participant name / Participante:____________________________Age / Edad:________
DOB /
Fecha De Naeimiento___________________Grade
/ Grado_______________________
Parent phone number/Telefono:HOME/CASA___________CELL/CELIVAR_____________
Address/Domicelio:______________________________________________________
City/Ciudad__________________________________________________________
Shirts size/Talla De Camisa: __________________
Emergency contacts/Contacto De Emergencia:
Name / Nombre:____________________Phone / Tel:___________________________
Name / Nombre:____________________Phone / Tel:___________________________
Medical Insurance Co/ Seguro: _____________________________________________
Policy #________________________________________________________________
My daughter is in good physical condition and is cleared to
participate in this
activity / Mi itisa esta en condicion fisica para sugar y puede participar en esta
actividad.
I give permission for my daughter to participate in this activity. / Doy permiso
Que mi mija participle en esta actividad.
I authorize the staff of this Wenatchee Valley United SC activity to obtain medical
care if necessary and acknowledge that I am responsible for any and all medical
expenses due to an injury or illness that occurs while at camp. / Doy permiso al
personal de WVUSC que obtenga aiecion medica si es necgsario y reconozco que
yo soy responsible de cualquier gasto, si ocurre una lesion durante esta avtividad.
Parent Name / Nombra papa - Mama: _________________________________
Date:______
Paren tSignature / Firma:_________________________________________
By checking this box, I am asking for financial assistance with
this soccer clinic because of financial need. / Al checar esta, estoy solicitando
ayuda financier para esta clinica.
UNITING PASSION, UNITING COMMUNITIES, UNITING COMPETITION
UNITING PASSION, UNITING COMMUNITIES, UNITING COMPETITION