Clemson University Paralympic Soccer: Virtual Camp Registration, February 19-21, 2021
Date: Feb 19-21, 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!
Full Legal Name (on passport)
Date Of Birth (01/01/19XX)
Address Line (If applicable, please Indicate APT #)
Phone number (XXX) XXX-XXXX
Email Address (VA Professionals - please consider giving a non-VA email, as VA's tend to block outside emails)
Disability type for Soccer Identification
Veteran and Professional
Professional working with veterans (Rec Therapist, PT, OT, advocate etc.)
% 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)?
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?
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?
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
Yes, I understand this
No, please do not include me in this program as I am not 100% committed.
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