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
* Required
Full Legal Name (on passport)
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Your answer
Date Of Birth (01/01/19XX)
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Your answer
Address Line (If applicable, please Indicate APT #)
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Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Phone number (XXX) XXX-XXXX
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Your answer
Email Address
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Your answer
Disability type for Soccer Identification
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CP/TBI/Stroke
Visual Impairment
PTSD
Other
Veteran and Professional
Professional working with veterans (Rec Therapist, PT, OT, advocate etc.)
Other:
Required
% Service connected VA disability (for grant funding purposes)
Your answer
The Military Branch or unit you are/were involved with?
Your answer
Shirt Size (Adult Unisex)
*
Your answer
Which of the following represents your current level of soccer knowledge/skills (select all that apply)?
I have no knowledge or previous experience in playing, coaching, or refereeing soccer.
I have basic knowledge of soccer (i.e., rules of the game, field positions, equipment requirements)
I am knowledgeable/skilled in playing soccer
I am knowledgeable/skilled in coaching soccer (i.e., planning + leading soccer practices related to athlete’s physical fitness, strength training, and soccer-specific drills)
I am knowledgeable/skills in refereeing soccer (i.e., i.e., rules of the game, personal fouls, penalties, etc.)
How comfortable with Zoom are you?
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Never have used it
I have used it a couple of time
I feel pretty good about using Zoom
I am a Zoom expert!
Where did you hear about us?
Your answer
List any special accommodations that will be needed (eg. large print, risk triggers, on screen text, etc)
*
Your answer
Any other questions or comments
Your answer
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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Yes, I understand this
No, please do not include me in this program as I am not 100% committed.
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