REGISTRATION INCLUDES:  T-Shirt (if registered by 7/10)  Ball (if registered by 7/10)  Speed work  Small-Sided Games  Full-Field Scrimmages  Small sided tournament  Plyometrics  Technical training  Tactical training Be Prepared! By giving my child permission to attend the Audubon Soccer Camp, I acknowledge that any injuries are not the responsibility of the camp staff or Audubon High School. I also understand that it is my responsibility to have my child medically cleared by their doctor to participate in contact sports if necessary. Audubon Youth Soccer Camp 2015 July 27-30th X _______________________________________ Signature of parent Please bring sneakers, cleats, and water each day to camp. Boys and Girls Ages 5 –14 9:00—12:00 Rain or Shine July 27-30, 2015 AUDUBON Soccer Camp Green Wave Park (Audubon Turf Field) Hampshire Ave. & N. Merchant St. Audubon, NJ 08106 Audubon Youth Soccer Camp Staff 2015 REGISTRATION ENROLLMENT Make Checks Payable: (Keep This Form for Your Director : Bill Scully Audubon Girls Soccer Reference) Audubon Girls Varsity Coach Please mail check and registration to: Cost: $105 PER PLAYER Attn: Bill Scully $95 if received by June 1st South Jersey Group I Champions 222 Winterwood Lane Colonial Conference Champions—5 yrs. Mullica Hill, NJ 08062 NSCAA License Coach of the Year—Courier Post Name: ___________________________________ Coach of the Year—Retrospect Address: _________________________________ STAFF: City: ____________________________________ Kelvin Murray Zip: PDA COACH Phone: __________________________________ USSF C & National Youth License Emergency Phone: _________________________ 2 time—NSCAA All American at Virginia Wesleyan College Age (at the time of camp) ______ ALL PLAYERS WILL RECEIVE A BALL & T-SHIRT IF _________________ DOB: _____ School Child attends ________________________ Founder of NJ Rush Soccer—NJ Assistant Director of Coaching South— NJ Force Family Discount: $90 each if you are registering two children from your family $85 each for 3 children or more by June 1st. REGISTERED BY THE July 10th DEADLINE. Register early! We only will be able to accommodate the first 100 campers registered for the camp. LOCATION Email ____________________________________ AUDUBON TURF FIELD Sex: *Please bring soccer cleats, Male Female Bill Pinto Shirt Size: Y Med Y Lrg A Sm A Med PDA COACH Health Concerns: __________________________ Rutgers—Camden: Assistant Men’s For More Information contact: _________________________________________ Soccer Coach Bill Scully Please Complete a registration form for each child in your family. Hofstra University— Varsity Player Ocean City Barons—Player sneakers, and water. scully121@comcast.net H: (856) 426-2195