2019 Manheim Township

Youth Soccer Camp June 17th-20th 6:00pm-8:00pm

Manheim Twp. High School Turf Fields

Who: Boys and Girls Ages 5-11
Where: Manheim Township High School turf fields I and J (behind the arena) Cost: $82.00 Due by May 29, 2019 ($92.00 after May 29th *T-shirt not guaranteed)

Two ways to register!

  1. Complete registration and payment at http://tshq.bluesombrero.com/cornerkick, or
  2. Fill out the application and medical release form below and mail, along with your check, to:
  3. Jill Hillard
    2332 Middlegreen Ct Lancaster, PA 17601 Make checks payable to the “Corner Kick Club

For questions or further information contact Noel Johns at noelmjohns@gmail.com

Camp Highlights:

  • Daily Instruction from the MT Boys Soccer coaching staff and Varsity Boys players.
  • Fun games and drills
  • Focus on fundamental drills, ball control, shooting, passing.
  • Each camper registered by May 29, 2019 receives a t-shirt!! What to Bring:
  • Soccer Ball
  • Shin guards
  • Water bottle
  • Appropriate footwear

Name_________________________________________________Age:____Gender:_______ Parent(s)/Guardian(s) Name:_______________________________________________________________ Address______________________________________________________________________________ Street City State Zip Phone:__________________________________ Email:_________________________________________________ Emergency Contact Name:__________________________________________ Phone #:_________________________ T-shirt Size: (circle one) YS, YM, YL, AS, AM, AL, AXL Medical Release Form:
I understand that Manheim Twp. School District does not carry medical or accident insurance for campers and I hereby certify that _______________________________ is covered by an insurance policy and that neither Manheim Twp. School District, Manheim Twp. Soccer camp volunteers, nor the Corner Kick Club, will be held financially responsible for any injuries to the above named camper. Further, I hereby authorize treatment to be referred to local physicians and medical facilities at my own expense.
Parent/Guardian Signature:_________________________________________________________ Date:_____________________