ISC West Evening Camp

2011 Internationals West

Soccer Camp

August 1 - 5

Explosion 1: Internationals Soccer Camp is a one-week soccer clinic for young players, boys and girls, 5-14 years old (entering Kindergarten through eighth grade) that will be held at Schwartz Park in Avon. The camp will be led by Internationals West Coach, Mike Besu, as well as other club coaches. Each day will be based around different skill sets, including dribbling, passing and receiving, heading, crossing, shooting and team play. In addition to skill development, emphasis will be placed on exciting soccer-based games, such as small-sided games, skill games and scrimmages.

Internationals Soccer Camp is committed to the beginning player and to the advanced soccer athlete. Our summer camp is certain to be an educational, exciting and challenging experience. Our goal is simple - to help you achieve your goals through a program which emphasizes preparedness, sportsmanship and personal character development. Our program is structured to develop each camper’s technical and tactical skills with close, personal attention. Every aspect of each player’s game will be addressed...emphasizing tactical awareness, technical (skill) training fitness with a ball, goalkeeping and the psychological dimensions the game demands. Special care will be taken throughout the week to identify each player’s strengths and weaknesses.

Dates: 8/1-8/5

Ages: 5 - 14 Girls and Boys

Time: 6:00pm - 8:30pm

Cost: $75.00

Location: Schwartz Park in Avon

Registration Deadline: July 29

2011 INTERNATIONALS WEST CAMP REGISTRATION / MEDICAL RELEASE FORM

Child’s Full Name

Birthdate

Address

City

State

Zip

Home Phone

Cell Phone

Parent/Guardian’s Full Name

Address

City

State

Zip

Home Phone

Work Phone

Cell Phone

Home Phone

Email 1

Email2

EMERGENCY CONTACT

Dentist Name

Phone

Doctor Name

Phone

Regarding the above named player, I recognize that I/he/she am/is participation in the Internationals Soccer Club program/event at my/his/her own risk. I/he/she hereby agree(s) to release, absolve, indemnify and hold harmless any member, sponsor or representative of the Internationals Soccer Club from any and all liability from any injury, medical fees, hospital fees, or doctor bills of the aforesaid player, and waive all claims of any kind against any or all of the organizations or persons hereinabove enumerated, including any and all claims against any person or persons transporting the above named player to or from any activities. I/he/she certify(ies) that I/he/he/she am/is in good health and am/is able to participate in all activities. If any medical attention for illness or injury should be required, I give my consent, after all reasonable attempts to contact me or my spouse have been unsuccessful, for the administration of any treatment deemed necessary by a licensed physician.

The following information is needed by any hospital or practitioner not having access to the player’s medical history:

Allergies: Food:	Drugs:	Bee/Insect		Other:
Other Pertinent facts to which physician should be alerted?
SIGNATURE OF PARENT/GUARDIAN			Date

Please make checks payable to:

Mike Besu

Mail to:

Internationals West

PO Box 45072

Westlake, OH 44145-0072

Questions? Please contact Mike Besu at 440-937-5171 or mike.besu@gmail.com