2019 Dixie Soccer Clinic
The Dixie High School Girls Soccer team will be holding a Dixie Soccer Clinic on
Saturday, April 27, 2019. The clinic will be held at the Dixie soccer/football field from 9 am to 12 noon. All elementary age children Kindergarten-6th grades are welcome. Each child will receive a soccer ball and t-shirt at a cost of $35.
The information is below. This form with fee must be received by Friday, April 12th, 2019.
The Dixie Soccer team will set up stations to work on a variety of techniques as well as small sided games.
We are looking forward to teaching your children about the game of soccer.
Please bring a Gatorade/Water bottle to put your drink in.

A registration fee of $35.00 is required in order to order soccer balls and t-shirts. You may mail the fee to: PLEASE MAKE CHECK PAYABLE TO DIXIE GIRLS SOCCER.

Send to:

JASON BURTON OR DROP IT BY
1 Haynes Street PO Box 158 Dixie High School
Due West SC 29639 ATTN: JASON BURTON

QUESTIONS OR CONCERNS MAY BE SENT TO:
joburton@acsdsc.org


Untitled Title
Parent/Guardian Name *
Your answer
Student's Name *
Your answer
Current Grade *
Shirt Size *
Emergency Contact Name *
Your answer
Emergency Contact Number *
Your answer
Email *
Your answer
Dixie Soccer Clinic Waiver of Liability and Release Form
I acknowledge that my child is physically fit and able to participate in this clinic. I also
understand that participation in athletic programs such as the Dixie Soccer Clinic
is potentially dangerous and that physical injury may occur to those participating.
I hereby RELEASE any claim, of any nature, which I might have against the Dixie
Soccer Clinic, Abbeville County School District, and any of the organizations, volunteers, and employees from any liability for any injury incurred by my child during this event.

Please type your full name and date signifying that you agree with the disclaimer above. *
Your answer
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