The Official Website of

Philadelphia Area Girls Soccer

City 6 Soccer Girls Soccer Clinic

Proceeds Benefit Children's Hospital of Philadelphia

The Drexel, La Salle, Penn, Saint Joseph's, Temple, and Villanova Womens Soccer Teams (City 6 Soccer) will co-sponsor a girls soccer clinic on 23 April 2006 at St. Joseph's University.  All proceeds go to the Childrens Hospital of Philadelphia Oncology Unit.

 

When:             April 23rd, 2006 5pm-8pm, 4:30pm  Registration

Where:                        Finnessey Field, Saint Josephs University

Who:               Ages 6-15/ All levels (You are grouped according to age

and ability.)

Why:               

v      Refresh your skills or learn new skills to enhance your ability.

v      Female Collegiate Players as Role Models.

v      Small coach to player ratio about 1:7.

v      Keeper training for those interested.

v      Help out a good cause.

v      FUN!!!!!

 

Schedule:

4:30-5:00 pm    Registration

5:00-5:10 pm    Opening Ceremonies

5:10-5:30 pm    Foot skills and juggling-warm up and stretching

5:30-7:30 pm    Stations- Finishing, defending, coervers and 1v1s, possession, passing                            and receiving, long balls and receiving air balls.  

7:30-7:50 pm                Small Sided Games

7:50-8 pm                     Closing Ceremonies

 

Cost: $25.00 Donation

 

You must bring: Water bottle, shin guards, and cleats.

 

Any questions please contact Coach Jess Reynolds at 610-660-3367 or email jreynold@sju.edu

Please complete and mail along with the check to:

City 6 Soccer Clinic

Attn: Jess Reynolds

Saint Josephs University

5600 City Avenue

Philadelphia, Pennsylvania 19131-1395

Please make all checks payable to Childrens Hospital of Philadelphia.

Thanks for your support!

 

 

Name:_________________________     Age:_______     Grade:_______

 

Street:______________________________________________________________

 

City:___________________________     State:___________     Zip:__________

 

Phone Number:___________________     Email:___________________

 

Shirt Size: Please circle.  Youth   S   M   L     Adult    S   M   L     Position:________________

 

Soccer Experience:______________________________________________________

 

 

 

 

Waiver Form

Since all campers will be under the age of 18, this waiver must be signed by the childs parent or guardian.

Statement

I understand City 6 Soccer, its staff and employees, and the City 6 Soccer clinic staff are not responsible for any accident or injury occurring to(child)____________________while attending camp

 

____________________

Parent/Guardian Signature

 

Please list any pertinent medical information of which our staff should have knowledge.

 

 

Authorization to consent to medical treatment for a minor child

 

I, (parent/guardian)____________________, state that I am the natural parent and/or have legal custody of(childs name)____________________.

I authorize ____________________ head coach and clinic director, to consent to any examination, anesthetic, xray, medical or surgical diagnosis or treatment, and/or hospital care to be rendered to this minor under the general conditions of special supervision and on the advice of any physician or surgeon licensed to practice when efforts to contact me are unsuccessful.  This consent form is granted for the period of______________________.

 

Parent/ Guardian Name:_____________________________________

Parent/ Guardian Signature:__________________________________

Date:________________   Emergency Phone Number:___________________________

Medical Insurance Carrier_________________________________________________

Insurance ID #_____________________  Carrier Phone #________________________

 

Affiliates

USYSA

EPYSA

US Cub Soccer

Region 1

Philadelphia Union

ATISoccer

Sponsors

Nike

YSC Sports

Soccercorner.com

United Sports

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