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
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.
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 firstname.lastname@example.org
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:_______
City:___________________________ State:___________ Zip:__________
Phone Number:___________________ Email:___________________
Shirt Size: Please circle. Youth S M L Adult S M L Position:________________
Since all campers will be under the age of 18, this waiver must be signed by the childs parent or guardian.
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
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 #________________________