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WINTER FUTSAL SESSION DATES JAN 8, 15, 22, 29 FEB 5, 12, 18, 25 6-7:30PM @ O’CONNELL HS Please complete and mail Registration Form with payment Camp Location: Bishop O’Connell High School – 6600 Little Falls Road, Arlington VA Contact us at [email protected] or 609.658.6944 or visit www.NXTLevelFutbol.com NXT Level Futbol Winter Futsal Sessions WINTER FUTSAL SESSIONS U13-U15 Boys Futsal sessions will provide innovative training methods to enhance players’ vision, awareness & decision-making in addition to technical skill development. Each session will end with small-sided games. SESSION DATES: JANUARY 8, 15, 22, 29 & FEBRUARY 5, 12, 18, 25 TIME: 6 – 7:30PM COST: $150

NXT Futsal 2017 - NXT Level Futbol Academy - Home Word - NXT_Futsal_2017.docx Created Date 11/23/2016 6:09:55 PM

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Page 1: NXT Futsal 2017 - NXT Level Futbol Academy - Home Word - NXT_Futsal_2017.docx Created Date 11/23/2016 6:09:55 PM

WINTERFUTSALSESSIONDATES

JAN8,15,22,29FEB5,12,18,25

6-7:30PM

@O’CONNELLHS

• Please complete and mail Registration Form with payment • Camp Location: Bishop O’Connell High School – 6600 Little Falls Road, Arlington VA • Contact us at [email protected] or 609.658.6944 or visit

www.NXTLevelFutbol.com

NXT Level Futbol

Winter Futsal Sessions

WINTERFUTSALSESSIONS U13-U15Boys

Futsalsessionswillprovideinnovativetrainingmethodstoenhanceplayers’vision,awareness&decision-makinginadditiontotechnicalskilldevelopment.Eachsessionwillendwithsmall-sidedgames.

SESSIONDATES:JANUARY8,15,22,29&FEBRUARY5,12,18,25 TIME:6–7:30PM COST:$150

Page 2: NXT Futsal 2017 - NXT Level Futbol Academy - Home Word - NXT_Futsal_2017.docx Created Date 11/23/2016 6:09:55 PM

NXT Level Futbol - 2017 Winter Futsal – Registration Form

PLAYERNAME:_________________________________________________________________________________HOMEADDRESS:_______________________________________________________________________________CITY:__________________________________STATE:__________ZIP:_______________________________AGE:_____SEX:M/FGRADE:________ CLUBTEAM:___________________________________SCHOOLATTENDINGFALL2016:___________________________________________________________ PARENT/GUARDIANNAME:_________________________________________________________________PHONE#_______________________ EMAIL:_________________________________________________

WOULDYOULIKETODONATETOHELPANOTHERPLAYER?YESorNO,thanks

SESSIONTUITION:$150

PAYMENT/INSURANCE INFORMATION

MAKECHECKSPAYABLETO“NXTLEVELFUTBOLACADEMY”ANDSENDTO:

NXTLEVELFUTBOLACADEMY2017WINTERFUTSAL

P.O.BOX1134FAIRFAX,VA22038-1134

IherebygivemyplayerpermissiontoparticipateintheNXTLevelFutbolWinterFutsalSessions.MychildisphysicallyfittoparticipateinathleticactivityandIwaiveNXTLevelFutbolAcademy,O’ConnellHSandcoachesasliablefromanyinjuryorillnessthatmayoccurduringthedurationofthesessions.Asaparticipantinastrenuoussport,theaboveplayeracceptsresponsibilitytoplayinasportsmanlikemannerandacceptstheinherentriskofathleticinjury.PARENT/GUARDIANNAME:____________________________________________________________________________________SIGNATURE:_______________________________________________________________ DATE:____________________________