2001 TREBOL SOCCER CAMP
|P.O. Box 895 Lafayette, CO 80026
June 11-14, 4-6 pm at Centaurus High School
Iím applying to the: goalie camp (ages 11-18) featuring David Kramer ____________
Competitive camp (ages 11-18) featuring Paul Bravo__________
Developmental camp (ages 7-11) featuring Marcelo Balboa _____
Player Name _________________________
Current Age _______________
Are you playing with a Trebol team in the fall?
If yes, with which team? _______________
If no, with which club/team are you playing? ____________________
Shirt:: Youth- S
M L Adult- S M
Parent Name(s) _________________________________________________________
Day Phone (Dad) ___________________
Eve. Phone (Dad) ___________________
WAIVER AND ASSUMPTION OF RISK
I HEREBY EXEMPT AND RELEASE TREBOL SOCCER
CLUB OF LAFAYETTE, INC. CENTARUS HIGH SCHOOL, THE 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 CHILDíS PROPERTY WHILE PARTICIPATING IN ANY OF THE ACTIVITIES
CONTEMPLATED BY THIS AGREEMENT, WHETHER SUCH LOSS, DAMAGE, OR INJURY RESULTS
FROM THE NEGLIGENCE OF THE TREBOL SOCCER CLUB OF LAFAYETTE, INC. OR ITS
REPRESENTATIVES OR FROM SOME OTHER CAUSE. I FURTHER AUTHORIZE THE AGENTS
OR EMPLOYEES OF THE TREBOL SOCCER CLUB OF LAFAYETTE, INC. TO ACT ACCORDING
TO THEIR BEST JUDGMENT IN AN EMERGENCY REQUIRING MEDICAL ATTENTION.
(Signature of parent or guardian)
Each soccer player in the camp
will also receive a t-shirt and a ticket for a Rapids game. Parents and
family members may purchase extra tickets for $10 each. Additional information
about ticket distribution will be given at the 1st day of camp.
I would like to order additional
__________ tickets for the game!
The cost of the goalie and competitive
camps is $125, the developmental is $85. Payment must be included with
the application. Make checks out to Trebol Soccer Club.