Camp InformationCost:

Before June 1, 2014: $100

After June 1, 2014: $125Fee includes camp ball and T-shirt.

Equipment:Campers are required to bring all necessary equipment for the week, including water. Shin-guards are required; cleats are suggested. Balls will be provided.

Location: Tino Leto Soccer Complex 413 N. Walnut Rd. Kennett Square, PA

Additional Information:

Please Mail Registration Forms & Payment (Check or Money Order made out to S.C.C.S.A.)

To: Justin T. Wyatt107 W. Street Road

Kennett Square, PA 19348

Please Return Form/Camp Waiver by July 14th , 2014

About The Camp….Camp Objective:

The SCCSA Preseason Boot Camp is formatted to provide local area middle and high school soccer players with the opportunity to condition and prepare their soccer skills in advance for the upcoming soccer season.

Activities/Topics Covered

Dynamic Stretching Soccer Fitness Speed & Agility Trainings Technical Drilling High School Tactics Small-Sided Scrimmages Individual Evaluations

S.C.C.S.APreseason

Boot Camp

Grades - 7th-12thCamp Dates

Monday, July 28th –Friday, August 19am-12pm

Tino Leto Soccer Complex

Contact Information

camps@sccsasoccer.com

Registration Deadline: July 14, 2014

Camp Staff

Camp Director: Kevin Lentz SCCSA Director of Coaching Oxford High School Girls’ Varsity Coach Former Bohemia Manor High School

Varsity Boys’ Coach Multiple Coaching Licenses including:

o USSF National “C” Licensed Coacho National Youth License

NCAA Division 1 collegiate soccer player at Drexel University and Temple University

Other lead staff will include:

Richard Greene: Goalkeeping coach at Abington High School

Joe Herman: Varsity girls’ soccer coach at Avon Grove High School

Gino Miraglia: Varsity girls’ soccer coach at Strath Haven High School

Justin Wyatt: Varsity Boys’ soccer coach at Oxford High School

Camp Waiver/Release

CERTIFICATION OF PHYSICAL FITNESS TO PARTICIPATE:

1. I understand a risk of participating in any sport, including soccer, is the risk of injury, including but not limited to serious permanent injury, paralysis, and death. To minimize the risk of injury, I agree to tell my child to obey all safety rules and to report fully any problems related to his/her physical condition to the camp trainers or assistants as soon as the problem begins.

2. By signing below, I certify the following:

--My child is not currently under the care of a physician for an injury or illness which would prevent his/her safe participation in the summer camp;

--My child is not currently being treated for or recovering from an orthopedic injury which would prevent his or her safe participation in the soccer camp;

--My child has no history of fainting or other problems related to strenuous exercise; and

--My child is in good health and there is no reason he or she cannot safely participate in strenuous physical activity.

CONSENTS:1. By my signature below, I hereby give permission for the SCCSA Soccer Camp and its trainers/staff to obtain medical treatment for my child, ________________________, in the event of accident or illness during his/her presence at the camp.

Parent/Guardian Signature___________________________________

Date: __________________________

Camp Registration Form Registration Deadline: July 14th, 2014

First Name: ____________________________

Last Name: ____________________________

Grade/School (2013-2014): ________________

Circle One: Male Female

Street Address: _________________________

____________________________________

Date of Birth/Age: _______________________

Parent/Guardians Names

_______________________________________

Home Phone #: _________________________

Cell/Work Phone #: _____________________

Email Address: _________________________

T-Shirt Size:

Circle One: S M L XL 2XL

Would you be interested in Goalkeeper training?

______ YES ______ NO

Registration prior to June 1: ______ $100

Registration after to June 1: ______ $125