SM   EAST   YOUTH   SOCCER   CAMP

Please complete and return this registration form and $65.00

(Checks made payable to – Kiwanis Club) to:

SME Youth Soccer Camp

7629 Walmer Street,

Prairie Village, KS

66204

 

Name:                                                                                     

Address:                                                          

City:                                                       Zip Code:                  

Parent(s)/Guardian(s):                                                  

Phone(H):                                                                                

Phone(W):                                                                               

Phone(C):                                                                                

E-Mail:                                                                                    

T-Shirt size(circle one): YS       YM      YL       AS       AM      AL       AXL

Ball Size:          4 (U-12 and Under)     5 (U-13 +)

SME Youth Soccer Camp

7629 Walmer St.

Prairie Village, KS66204

(Checks made payable to – Kiwanis Club)

 

                           

SM EAST

YOUTH SOCCER CAMP

 

Dates:        July 27^th  – 30^th  (Monday – Thursday)

Times:       8:00 – 10:00 am

Cost:         $65.00 (includes T-shirt and Ball)

Location:  SM East H.S.

The Lancer Youth Soccer Camp is for any 1^st-6^th grade boy or girl interested in participating to improve their skills, have fun, and enjoy the greatest sport in the world.

 

SME Youth Soccer Camp

7629 Walmer St.

Prairie Village, KS66204

(Checks made payable to – Kiwanis Club)

 

 

“The undersigned states that HE/SHE understands that the Lancer Soccer Camps is not and shall not be responsible for or liable for any illness, or injury to person or damage to property resulting from participating in said program, and the participant and the undersigned, if the participant is a minor or under other legal disability, hereby forever release and holds harmless the said Lancer Soccer Camps, it’s employees, agents, and representatives from any and all claims of any kind that the participant or the undersigned or their respective heirs, executors, administrators, or assigns may have or claim to have resulting form participating in said program.”

Parent signature                                            Date