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
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:____________________________
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