SOCCER PROGRAM REGISTRATION FORM (Fútbol para chicos)

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El programa de fútbol ofrece sesiones en otoño y primavera para los alumnos en la cancha frente a la entrada principal de la Escuela. El fútbol para chicos se concentra en la enseñanza de este deporte como una actividad formativa y recreativa utilizando el lenguaje español. Esta actividad de motivación y retención está dirigida exclusivamente a los alumnos de la Escuela Argentina.

Entrenadores: Agustín Garay, Gabriel Adler y Guillermo Barrenechea
Inscripciones: Mónica Adler, monica@magacreativeservices.com

SPRING 2016 (April/May)

Location: Connelly Sport Camp
Dates: Saturdays (April 9, 16 and 30; May 7, 14 and 21)
Time: 1:45-2:45 pm
Fee: $50 (first child); $45 (additional child)

**All players must bring: t-shirt, soccer ball, shin guards, sport shoes (older players may prefer cleats), water bottle, sunscreen**

INSTRUCTIONS: To complete your registration you must fill out this form and bring payment to school.

[1] PLAYER NAME: *

First and last name

[1] GRADE: *

[1] AGE: *

[2] PLAYER NAME:

[2] GRADE:

[2] AGE:

[3] PLAYER NAME:

[3] GRADE:

[3] AGE:

[4] PLAYER NAME:

[4] GRADE:

[4] AGE:

E-mail Address *

Please provide all e-mails to be included for contact regarding this program.

FAMILY ADDRESS *

Please provide full mailing address.

PARENT'S NAME *

Include one or both

CELL PHONE *

LIABILITY WAIVER

As participant of the soccer program run by ACEA volunteers, I hereby certify that my son/daughter is in good health and has my permission to participate in the Soccer Program. Escuela Argentina Inc. and its volunteers assume no responsibility and will not be held liable for any incident resulting in medical, dental or other expenses.

Required

I understand this is not a drop-off activity and a responsible adult must remain on the premises during the course of the activity.

Required

I understand that fees are non-refundable except in the case of a family or medical emergency.

Required

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