Surf Spring Break Skills Camp 2017
3 Day Skills Camp offered by our Nationally Licensed Youth Coaches and Internationally trained Professional Staff. Come learn new skills or improve your old ones but either way, you'll boost your game and have fun!
Participants should wear outdoor soccer cleats and shinguards.

DATES: April 3-5th 2017

COST: $40 for 3-day camp and camp t-shirt (Registration fee goes up on March 28th. Register now to avoid $5 increase!)
Please pay via VENMO @UtahSurfSoccerCamps or by check or cash on the first day of camp.

BIRTHYEAR AGE GROUP TIMES: (boys and girls)

2003-2005 9:30am-10:30am

2006-2008 10:30am-11:30am

2009-2011 11:30am-12:30pm

ALL CLUBS AND SKILL LEVELS WELCOME! BRING A FRIEND!

APRIL 3-5th 2017
Mt. Ridge Jr. High, Highland, UT
Participant's FIRST Name:
Your answer
Participant's LAST Name:
Your answer
Player Birth Year:
Parent/Guardian Name: (First and Last)
Your answer
Parent/Guardian Email:
Your answer
Parent/Guardian Phone Number: (Emergency Contact)
Your answer
Participation Waiver
By clicking "ACCEPT" below, I hereby give my consent to have an athletic trainer, coach, team manager, emergency medical technician,nurse, medical treatment facility, and/or doctor of medicine or dentistry or associated personnel provide the applicant/participant with medical assistance and/or treatment and agree to be financially responsible for the cost of such assistance and/or treatment. I understand treatment for injury will be based on information provided herein. I hereby authorize emergency transportation of the applicant/participant to a medical treatment facility should an individual listed above consider it to be warranted. I recognize the possibility of physical injury associated with soccer, and hereby release, discharge, and otherwise indemnify the club, USClub Soccer, their sponsors, the USSF and its affiliated organizations, and the employees and associated personnel of these organizations, against any claim by or on behalf of the soccer player named above as a result of that player’s participation in US Club Soccer programs and/or being transported to or from the same, which transportation I hereby authorize. I hereby grant permission to Utah Surf Soccer Club and its legal representatives, assigns, and those acting on its behalf, to use any picture, video or audio recording of my child taken in connection with Utah Surf Soccer Club for all manner of advertising, trade, promotion, exhibition, or any other lawful purpose related to youth soccer whatsoever and in any form or medium.
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms