DEVELOPMENTAL PREMIER SOCCER PROGRAM @ Rippowam
Cisqua school -
- Boys & Girls, Kindergarten-First
grade & Second-Third grade on Wednesdays
- Boys
ages 11-13 (players born after 7/31/96) on Fridays, 4:30 -6:00 pm
Field location: Rippowam CISQUA school (the address:
GENERAL
INFORMATION
WEDNESDAYS: April 7, 14, 21, 28,
May 5, 12, 19, 26, June 2, 9 & 16, 2010
- 4:30 – 5:30
– Kindergarten & First grade boys & girls
- 5:30 – 6:30
PM – Second & Third grade boys & girls
FRIDAYS: April 9, 16, 23, 30, May
7, 14, 21, 28, June 4, 11 & 18, 2010
- 4:30 – 6:00
– Boys ages 11-13(players bornafter7/31/96)
Practices are always ON as
scheduled; rain days at covered field house near the soccer field and/or shine
(outdoor at lower field). Please make sure your child/children should wear
CLEATS and also should bring SNICKERS on his/ her back, in case if the weather
will make us to switch from outdoor to indoor ( hard floor) and shin guards covered by (soccer)
socks.
Please check
PRACTICE LOCATION: Rippowam Cisqua school:
Pricing: $ 175.00 / each participant
Please send the check of $ 175.00 /each
player (made to Transylvania Gym & Soccer LLC), along with completed
registration and signed waiver form, to:
Tel/Fax 203-778-6623
REGISTRATION FORM
Name --------------------------------------------------------------------Date
of birth---------------------------------
Address------------------------------------------------------------------------------------------------------------------
Town------------------------------------------------------------State--------------------------Zip---------------------
Home
Tel----------------------------------------------------Emergency
Tel-------------------------------------------
E-mail--------------------------------------------------------------------------------------------------------
Transylvania
Gym & Soccer LLC –
-
DEVELOPMENTAL PREMIER PROGRAM –
WEDNESDAYS: April 7, 14, 21, 28,
May 5, 12, 19, 26, June 2, 9 & 16, 2010
- 4:30 – 5:30
– Kindergarten & First grade boys & girls
- 5:30 – 6:30
PM – Second & Third grade boys & girls
FRIDAYS: April 9, 16, 23, 30, May
7, 14, 21, 28, June 4, 11 & 18, 2010
- 4:30 – 6:00
– Boys ages 11-13(players bornafter7/31/96)
Waiver of Liability/
Emergency Authorization
To enable the Rippowam Cisqua & Transylvania Gym & Soccer LLC to accept
registration and permit participation in the Rippowam
Cisqua 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 and agree to
release, indemnify, and hold harmless, the Rippowam Cisqua and Transylvania Gym & Soccer LLC, their
officers, directors instructors/coaches, and representatives from any claim out
for injury arising out of the Rippowam Cisqua and
Transylvania Gym & Soccer LLC ’s activities.
In case of any emergency I
hereby authorize treatment and care of player by any hospital, doctor, or
emergency or ambulance association.
-------------------------------------------------------------------------------------------------------------------
Parent /guardian Signature Date
Phone: 203 778 6623
Fax: 203 778 6623
E-mail: ts@transylvaniasoccer.com
or constantin.albu@snet.net