Clemson University Paralympic Soccer: Virtual Camp Registration, March 26-28, 2021
Date: March 26-28, 2021 (Half-day on Friday, Full day Saturday & Sunday)

Injured Military veterans or members of the Armed Forces (PTSD, TBI, visual Impairment given preference) and workers providing supportive roles for veterans are invited to attend this 2.5 day online soccer clinic.

**All of the sessions will take place on "Zoom." Participants will need to have access to the Zoom portal. You will be emailed the link for each session post registration.**

What you will experience:
1. Gain knowledge and training in adaptive soccer (CP/TBI Soccer and Blind Soccer)
2. Receive US Soccer Coach Grassroots Certification
3. Receive Mental Health First Aid Certification

Main Goal: To introduce veterans to adaptive soccer and provide them with an opportunity to get a Coaching and Mental Health First Aid Certification. We will also provide resources for participants that want to get involved within their own communities after camp.

Please register ASAP, as spots fill up fast!

Website: clemsonparalympicsoccer.org
Questions? Email KWindbi@clemson.edu

Full Legal Name (on passport) *
Date Of Birth (01/01/19XX) *
Address Line (If applicable, please Indicate APT #) *
City *
State *
Zip Code *
Phone number (XXX) XXX-XXXX *
Email Address *
Disability type for Soccer Identification *
Required
% Service connected VA disability (for grant funding purposes)
The Military Branch or unit you are/were involved with?
Shirt Size (Adult Unisex) *
Which of the following represents your current level of soccer knowledge/skills (select all that apply)?
How comfortable with Zoom are you? *
Where did you hear about us?
List any special accommodations that will be needed (eg. large print, risk triggers, on screen text, etc) *
Any other questions or comments
But submitting this form, I understand, if selected, I am committed to be in attendance the full camp period and will complete the necessary coaching certification material provided PRIOR to attending the clinic *
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