WINTER SOCCER SKILLS TRAINING by elfphabet2

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									      WINTER SOCCER SKILLS TRAINING
           FREETOWN-LAKEVILLE MIDDLE SCHOOL
                              REGI STRATI ON FEE: $50.00
                          Starts w eek of Nov 3 thru M arch 26th
We do not opera te durin g s chool va cat ion w eeks, half days or s chool can cella tions due
                                        to w eather.

     SKILL TRAINING WILL FOCUS ON FOOTWORK, AGILITY, FITNESS,
         SPEED, PASSING, SHOOTING AND GAME TACTICS.
                        Monday 6:00-7:30pm U11-U12 (Coed)
                          Tuesday 6:00-7:30pm U9-U10 (Coed)
                    Thursday 6:00-7:30pm U13-U14-U15 (Coed)
             See www.freetownlakevillesoccer.org for U8 program and forms.

   All participants will need to wear shin guards, indoor gym shoes and bring their own ball .

              shirt size (please circle one): Adult Med,   Adult Small,       Youth Large

Name___________________________________Age Group:________________

Address:___________________________________________________________

Home Phone:_____________________Cell Phone: ________________________

Emergency Contact/ Phone: ______________________________________

Medical insurance provider: _________________________

Insurance #: _____________________________________

List Any Medical Condition (s): ___________________________________

Email address (required):__________________________________________________

The above named youngster i s in appropriate physical condition and posse sse s the proper health
insurance to participate in the activities that have been indicated. I hereby release and agree to hold
harmless the Towns of Freetown and Lakeville , The Freetown Lakeville Regional School Committee, the
Freetown-LakevilleSchool District and the Freetown-Lakeville Soccer Club any and all liability for any
injuries and property by the person or persons identified above. I agree, by my signature, to abide by
the sportsmanship and program policies of the Community Recreation Department.

PARENT/ GUARDIAN
SIGNATURE___________________________________________DATE: __________
  (Please Note: Spaces are limited so please reply with interest ASAP)

      Please contact Victor de Medeiros at 508-802-2177 with any questions

                     Freetown-Lakeviile Community Recreation Department
                            98 Howland Road, Lakeville, MA 02347
                               508-923-6446 / flcommrec.com
                            Checks Payable to: F.L.R.S.D

								
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