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WINTERFUTSAL
SESSIONS
JAN7,14,21,28FEB3,11
6-7:15pm(U9-U12)7:15-8:30pm(U13-U16)
@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
Futsalsessionswillprovideinnovativetrainingmethodstoenhanceplayers’vision,awareness&decision-makinginadditiontotechnicalskilldevelopment.Eachsessionwillendwithsmall-sidedgames.
SESSIONDATES:JANUARY7,14,21,28&FEBRUARY3,11 TIME:6–7:15pm(U9-U12boys)&7:15-8:30pm(U13-U16boys) COST:$125
NXT Level Futbol - 2018 Winter Futsal – Registration Form
PLAYERNAME:_________________________________________________________________________________HOMEADDRESS:_______________________________________________________________________________CITY:__________________________________STATE:__________ZIP:_______________________________AGE:_____SEX:MGRADE:________ CLUBTEAM:___________________________________SCHOOLATTENDINGFALL2017:___________________________________________________________ PARENT/GUARDIANNAME:_________________________________________________________________PHONE#_______________________ EMAIL:_________________________________________________
WOULDYOULIKETODONATETOHELPANOTHERPLAYER?YESorNO,thanks
SESSIONTUITION:$125
PAYMENT/INSURANCE INFORMATION
MAKECHECKSPAYABLETO“NXTLEVELFUTBOLACADEMY”ANDSENDTO:
NXTLEVELFUTBOLACADEMY2018WINTERFUTSAL
P.O.BOX1134FAIRFAX,VA22038-1134
IherebygivemyplayerpermissiontoparticipateintheNXTLevelFutbolWinterFutsalSessions.MychildisphysicallyfittoparticipateinathleticactivityandIwaiveNXTLevelFutbolAcademy,O’ConnellHSandcoachesasliablefromanyinjuryorillnessthatmayoccurduringthedurationofthesessions.Asaparticipantinastrenuoussport,theaboveplayeracceptsresponsibilitytoplayinasportsmanlikemannerandacceptstheinherentriskofathleticinjury.PARENT/GUARDIANNAME:____________________________________________________________________________________SIGNATURE:_______________________________________________________________ DATE:____________________________