THE 2003, 6TH ANNUAL TREBOL SOCCER CAMP REGISTRATION

 

June 9,10,12,13 (no camp on June 11).§ 4-6 p.m.

Competitive Camp at Peak to Peak Charter School § 800 Merlin Drive, Lafayette

Recreational and Developmental Camp at Sanchez Elementary School § 665 Sir Galahad Dr., Lafayette

( Peak to Peak and Sanchez are just 3 blocks away from each other )

Each registrant receives a camp T-shirt.

 

Please use separate form for each person.

Camp

Ages

Director

Fee

Walk Up Registration Monday, 6/9/03

Total

Competitive

U11-U18

Paul Bravo

$99

Add $10

$

Developmental

6-11

Pancho Hansen

$65

Add $10

$

 

 

 

Make checks payable to Trebol Soccer Club.

Mail to: PO Box 895, Lafayette, CO 80026

 

 

 

§We have Rapids tickets available for sale ( additional cost ) for the July 4th game and fireworks.

 

 

Camp Player Name                              _________________Age or club soccer age group                

 

Parent/Guardian Name(s) ______________________________________________________

Day Phone:                                                             Eve. Phone                                                            

Address ________________________________                  City/Zip ______________________________

Alternate Emergency Contact:   Name and Phone                                                                                             

 

 

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

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 schedule changes by speaking to on-site personnel, calling

720-8-SOCCER and listening to updates.

 

WAIVER AND ASSUMPTION OF RISK I HEREBY EXEMPT AND RELEASE LAFAYETTE TREBOL SOCCER CLUB, INC., BOULDER VALLEY SCHOOLS, PEAK TO PEAK CHARTER SCHOOL AND COLORADO RAPIDS AND THEIR 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., PEAK TO PEAK CHARTER SCHOOL, BOULDER VALLEY SCHOOLS, COLORADO RAPIDS OR THEIR REPRESENTATIVES OR FROM SOME OTHER CAUSE. I FURTHER AUTHORIZE THE AGENTS OR EMPLOYEES OF THE LAFAYETTE TREBOL SOCCER CLUB, INC. OR COLORADO RAPIDS TO ACT ACCORDING TO THEIR BEST JUDGMENT IN AN EMERGENCY REQUIRING MEDICAL ATTENTION.

 

_________________________________________             ______________________

(Signature of parent or guardian)                                                               (Date)