Download pdf - NXT Futsal 2018 - NXT Level Futbol Academy - Home FUTSAL SESSIONS JAN 7, 14, 21, 28 FEB 3, 11 6-7:15pm (U9-U12) 7:15-8:30pm (U13-U16) @ O’CONNELL HS • Please complete and mail

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:____________________________