DSSC Summer Soccer Camps for Players U8 – U12

Every soccer player needs to be strong in the major skill areas in order to be a beneficial team member and to be effective in game situations. Often times, players just need some focused instruction and practice on a particular skill.  With a few pointers and new techniques, they can achieve a whole new level in their game. Consider the list of skill sessions that will be offered this summer, and determine which ones are right for you.  Players will leave each session with some great ways to further develop these skills over the summer so they can improve tremendously by the fall!  All sessions end with a classic game of World Cup. After all, it is soccer camp!

**In the event of inclement weather, a make-up session will be held on Friday, June 29 from 4:00-6:00 pm**

          Contact Info: Pat Miller         Email: millerpatrico11@gmail.com      Phone:  623-693-3525

REGISTER on-line at www.dyaasoccer.org(with a credit card), or REGISTER by mailing the bottom of this form with a check or money order to DYAA, PO Box 1601, Delaware, OH 43015

__________________________________Cut Here for Mail-in Registration________________________________

Player Name: _________________________________________________      Age:____________   Gender:  circle   M   or   F

Parent Name: __________________________________ Email: ______________________________________________________

Phone Number: ______________________________________ Emergency #__________________________________________  

Sessions(CIRCLE):   1    2    3    4     $__________ in total camp fees           Optional DSSC Camp T-Shirt ($10)  ____yes _____no 

**Camp shirts will be available in some sizes and sold separately at camp for $10**

$_____________ is enclosed (payable to DYAA) which covers the above camp fee, as well as the camp t-shirt if applicable

Release of Liability: By registering my child and returning both the payment and registration form as required, I/we hereby acknowledge, on behalf of all participants, in my/our immediate family, that I/we and my/our legal heirs, individually and as the parent(s)/legal guardian(s) of the player/participant, do hereby waive and release all rights and claims for losses or damages that I/we and the player/participant may have against the Delaware Youth Athletic Association, its officials, sponsors, hosts, representatives, and administrators, Patrick Miller and any/all assistant coaches or camp staff for any and all injuries suffered by me/us and/or the player/participant in connection with participation in this program and all its events. I/we and the player/participant assume all risks of injuries, losses, and damages in connection with such participation.

Parent/Guardian Signature (Acceptance of Release of Liability): _____________________________________________