Magic City Soccer Camp - Minot Soccer Association

Magic City Soccer
Camp
§ Location: Minot Soccer
Complex
§ Date: June 23 rd , 24 th , 25 th
(deadline to register: June
10 th )
§ Fee: $25 (each camper will
get a Minot Soccer Camp Tshirt)
§ Time: 6pm to 8pm
§ All participants must wear
shin guards
Camp is open to children entering
grades 3 through 5 (Fall 2015).
Please send checks and
registration forms to:
Creighton Bachmeier
1723 12th Str SW
Minot, ND 58701
Please Make Checks Payable to:
Minot High Boys Soccer
Camp Questions: Please call Coach
Bachmeier: (701)721-8115 or
[email protected]
Name_____________________________ Grade (Fall 2015)_________
Boy_____ Girl______
Address___________________________ Phone#_______________________
T-shirt Size (Circle one) Adult Sizes XL L M
S Youth Sizes
L
M
S
I understand the Magic City Soccer Camp director and staff will not be held responsible for injuries or loss of
property while the above named student is attending the camp. I do hereby release Minot High, coaches and
staff from liability, including claims and suits in law or equity for any injury, fatal or otherwise. The signature
below absolves the Magic City Soccer Camp of all responsibility for loss of personal property. Furthermore, I
realize the risk involved to the student. I will pay, or cover through my insurance, any medical expense, the
doctor bills or other expenses, which could be incurred as a result of treatment given the above named
student for illness or injury while attending a Magic City Soccer Camp. I hereby authorize the staff of the
Magic City Soccer Camp to act for me according to their best judgment in any emergency requiring medical
attention.
Parent or Guardian
Signature______________________________________________