Contact person prior to camp.Jude @ 303-665-2621

THE 2002, 5^TH ANNUAL TREBOL SOCCER CAMP

June 10-13.§ 4-6 p.m. at Centaurus High School § 10300 South Boulder Road, Lafayette

Each registrant receives a camp T-shirt and a ticket voucher good to any 2002 Rapids home game.

Please use separate form for each person.

Camp		For Ages	Featuring	Fee	Less Sibling Discount	Totals
Goalie		11-18	David Kramer	$150	-$15 (if applicable)	$
Competitive		11-18	Coach Paul Bravo	$130	-$15 (if applicable)	$
Developmental		7-11	Chris Henderson	$95	-$15 (if applicable)	$
Extra Tickets			I request an extra #_______ ticket(s)	$15 each	(# of tickets x $15 =)	$
	Make checks payable to Trebol Soccer Club.Mail to; PO Box 895, Lafayette, CO 80026				Total. this form	$

§Extra ticket vouchers may purchased during the camp.

§Sibling discounts.If this form is for your 2nd child ( or 3^rd ), subtract $15 from the fee due on this registration.Please name your other child(ren) in the camp; 

Cancellation Policy: Full refund if canceled by June 1^st,Less $30 After June 1^st,No refund after June 9^th.

If unforeseen circumstances arise ( i.e. inclement weather or Rapids schedule changes ), Trebol Soccer Club reserves the right to reschedule or cancel all or part of the camp and issue full, partial or no refunds.During the camp you can receive changes by speaking to on site personnel,

calling 720-8-SOCCER and listening to updates, or visiting www.trebolsoccer.org.

Camp Player Name _________________________________   Current Age _______________

T-shirt: Youth-  S  M  L                     Adult-  S  M  L  XL (circle choice)

Parent/Guardian Name(s)_________________________________________________________

Day Phone:_________________________ Eve. Phone:_________________________________

Address _____________________________________City/Zip __________________________

Are you playing with a Trebol team in the fall? Yes No

          If yes, with which team or coach? _____________________________

          If no, with which club/team are you playing? _____________________

WAIVER AND ASSUMPTION OF RISK

I HEREBY EXEMPT AND RELEASE LAFAYETTE TREBOL SOCCER CLUB, INC., CENTAURUS HIGH SCHOOL, COLORADO RAPIDS AND ITS REPRESENTATIVES FROM ANY AND ALL LIABILITY, CLAIMS, DEMANDS OR ACTIONS OR CAUSES OF ACTION WHATSOEVER ARISING OUT OF ANY DAMAGE, LOSS OR INJURY TO MY CHILD OR MY CHILD’S PROPERTY WHILE PARTICIPATING IN ANY OF THE ACTIVITIES CONTEMPLATED BY THIS AGREEMENT, WHETHER SUCH LOSS, DAMAGE, OR INJURY RESULTS FROM THE NEGLIGENCE OF THE LAFAYETTE TREBOL SOCCER CLUB, INC., CENTAURUS HIGH SCHOOL, COLORADO RAPIDS OR ITS REPRESENTATIVES OR FROM SOME OTHER CAUSE. I FURTHER AUTHORIZE THE AGENTS OR EMPLOYEES OF THE LAFAYETTE TREBOL SOCCER CLUB, INC., CENTAURUS HIGH SCHOOL OR COLORADO RAPIDS TO ACT ACCORDING TO THEIR BEST JUDGMENT IN AN EMERGENCY REQUIRING MEDICAL ATTENTION.

_______________________________________________________________

(Signature of parent or guardian)(Date)