SUMMER SOCCER CAMPS Massachusetts

 SUMMER SOCCER CAMPS
Massachusetts
Central Berkshire Camp
Miss Halls School
July 19th-23rd
9.00am -12.00noon ($80), 9.00am-3.00pm ($155)
Southern Berkshire Camp
Simons Rock College
August 2nd-6th
9.00am -12.00noon ($80), 9.00am-3.00pm ($155)
High School Training Camp
Camp Winadu
August 16th-20th
5.00pm-8.00pm ($135)
www.Sports-Domain.com
CAMPS 2010
Camp Winadu Residential and Day Camps Typical Daily Schedule Dates th – 20th 2010 August 16
August 23rd – 27th 2010 th – Sep 3rd 2010 August 30
At Camp Winadu, MA Location Camp Winadu, located in the Berkshire Mountains of Massachusetts is the finest full season sports camp in the US. With idyllic sport facilities, including four re‐graded soccer fields, tennis & basketball courts, swimming pool and strength & conditioning centre. Camp Winadu is the ultimate summer destination. Morning 7.30 am 8‐8.30 am 8.45 am Wake‐up Breakfast Extended day players arrive Daily themed Technical Session Lunch 9‐11 am 12‐12.30 Afternoon 12.30‐1.15 pm 1.30‐3.30 pm 4‐5 pm 5‐5.30 pm 6‐8 pm 8 pm 8.30‐10 pm 10pm Rest Daily themed Tactical Session Rest/ Swimming Dinner Evening Tournament/Small‐
sided/11‐a‐side scrimmages Extended day players leave Rest/Seminars/Video Analysis/Activities Lights out Pricing Team (10 player minimum) Individual Extended Day 9am – 8pm Per Player $475.00 $525.00 $350.00 (No stay‐over) Day Camper 9am ­ 3.30pm • Fees are all inclusive • All players receive SDA training t­shirt and soccer ball $225.00 Registration Mail registration to: 34 Revere Parkway, Pittsfield, MA, 01201 Tel: (413) 464‐7113 Email registration to: mgillon@ashleyssoccer.com Tel: (973) 897‐7696 PARENT INFORMATION (PLEASE PRINT) Name of Parent(s)__________________________________________________________________________________________ Street Address _____________________________________________________________________________________________ Town___________________________________________________ State____________________ Zip_______________________ Home Phone_______________________________________Cell/Work Phone_______________________________________ *Email_____________________________________________________________________________________________________ CONFIRMATION: YOU MUST PROVIDE AN EMAIL ADDRESS. THE CAMP CONFIRMATION AND ALL FURTHER INFORMATION WILL BE SENT VIA EMAIL CAMP NAME: ____________________________________________________________________ PLAYER INFORMATION Camp Place # 1 2 3 Last Name First Name D.O.B mm/day/yr Sex M/F Price $ Camp Payment: $100 deposit secures place. Balance due July, 1st 2010 Cancelation & Refund Policy: If any portion of a camp or program is cancelled due to inclement weather, a make‐up will be scheduled for the lost time. If a make‐up is unable to be scheduled, a pro‐rated credit voucher will be issued. Sessions missed through illness will either be made up for the athlete or a credit voucher for the pro‐
rated value issued. A cash refund will not be issued without legal cause. A refund registration will incur an administration fee of $25.00. Alternatively, a credit voucher for the full amount will be issued if desired. Returned checks will incur a $25.00 fee TOTAL
PAYMENT INFORMATION Payment Method (Please select): †Check †MasterCard †Visa Card Expires (mm/yr)__________________________ (We don’t accept AMEX) Credit Card # ____________________________________________________________ Signature ___________________________________________________________________ WAIVER INFORMATION: I hereby release Sports Domain Academy (SDA) and Ashley’s Soccer Camp (ASC) and any hosting organization from any and all claims and liability of any kind of personal injury or property due to participation in this program. I understand that participation includes physical contact and certify that my child is in good health and able to participate in all activities. I agree to notify the coaching staff of any pre‐existing medical or psychological conditions. If attention is required for illness or injury, I give permission to a staff member for such care. I give permission for my child to be photographed or videotaped while participating in camp activities and for all the resulting images to be used by SDA and ASC for promotional purposes. On a separate piece of paper, please indicate all known physical and mental conditions. Indicate if your child hasn’t been immunized against diphtheria, tetanus, poliomyelitis, measles, pertussis, mumps and rubella in accordance with New Jersey State Law N.J.A.C. 8:57‐4. ____________________________________________________________________________________________ SIGNATURE DATE