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Lisbon Preseason Skill-Conditioning Soccer Camp Set Aug. 12-15

Updated: Jul 21, 2019

LISBON — The seventh annual Lisbon Preseason Skill and Conditioning Soccer Camp will be held Aug. 12-15 at Lisbon Central School.

The camp is for boys and girls in grades 7-12. Each session will be held from 8-11 a.m.

The camp director is Bill Reed and Liavon Central Coach Dicky Marcellus is also on the staff., Instruction will also be provided by other Section 10 high school coaches.

The camp fee is $100 and the deadline for entry is July 31. Please send registration forms and camp fee checks to Bill Reed, 16 Backwoods Road, Colton, N.Y. 13625.

For more information, email reedbucket@yahoo.com.


CAMP REGISTRATION FORM


CAMPER(S) NAME: ________________________________

PARENT NAME(s): _________________________________


ADDRESS: _______________________________________________________________________________________________


CITY: _____________________ STATE_______ ZIP________


SCHOOL__________GRADE as of 9/2019: ____

GOALIES ONLY CAMP (Check Here) _________


PARENT/GUARDIAN PHONE #: _____________________ WORK PHONE: _______________


BACK-UP EMERGENCY CONTACT NAME/PHONE #: _________________________________


T-SHIRT SIZE: ADULT ONLY_____

EMAIL ADRESS____________________________


Parental release: This is to certify that my student athlete has permission to participate in all camp activities. I assume all risks and hazards incidental to such participation and I do hereby agree to hold harmless the staff of the Lisbon Soccer Camp from all claims arising out of any injury to my child. Furthermore, this verifies that the camper is up to date with his/her immunizations and can participate in all camp activities. In the event of injury my permission is granted for treatment as required at the nearest medical treatment facility.


ASTHMA___________ BEE STING ALLERGY___________ (Athlete MUST have Bee Sting Kit and/or Asthma Inhaler)


ALLERGIES: __________________________________________________________


ANY/ALL OTHER MEDICAL CONDITIONS: ______________________________________________


CURRENT MEDICATIONS TAKEN: ____________________________________________________


Parent/Guardian Signature: ____________________________________ Date: _____________________

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