MERCY CAMP Registration Form

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2006 SUMMER CAMP

MERCY COLLEGE– SOCCER MAIN SOCCER FIELDS

”A” & “B”

(OR INDOOR / GYM IN CASE OF INCLEMENT WEATHER)

• SESSION 1 – JULY 10 TO JULY 14 ( FULL DAY

9:00 - 3:30 PM OR ½ DAY 9:00 – 12:00 PM)

• SESSION 2- JULY 17 TO JULY 21 ( FULL DAY

9:00 AM TO 3:30 PM or ½ DAY 9:00 AM to 12:00 PM)

• SESSION 3- JULY 24 TO JULY 28 (FULL DAY

9:00 AM to 3:30 PM or ½ DAY 9:00 AM to 12:00 PM)

Waiver of Liability/ Emergency Authorization

To enable Mercy College and Transylvania Gym & Soccer LLC to accept registration and permit participation in the Mercy College and Transylvania Gym & Soccer LLC ’s activities by the above named player, I, ____________________ player’s parent /guardian, hereby give my consent to his /her participation in the Transylvania Gym and Soccer LLC camp and agree to release, indemnify, and hold harmless, the Mercy College and Transylvania Gym & Soccer LLC, their officers, directors instructors/coaches, and representatives from any claim out for injury arising out of the Mercy College and Transylvania Gym & Soccer LLC ’s activities.

In case of emergency I hereby authorize treatment and care of player deemed necessary by any hospital, doctor, or emergency or ambulance association medical personnel.

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Parent /guardian Signature  Date 

Transylvania Soccer camps

11 Grace Court

Bethel, 

CT -  06801