Soccer Camp

Soccer Camp 2017-05-15T15:16:36+00:00

FC Academy Nashville Soccer Club 2017 Soccer Camp

Boys & Girls 5th – 12th Grade

Camp Date: June 5-9, 2017  Time: 9:00 -12 Noon
Registration begins at 8:30 a.m.

Cost: $65.00 per participants

Location: Cameron College Prep (Lead Academy)
1034 1st Avenue South, Nashville, TN 37210

Participant’s Name (required)

Date of Birth mm/dd/yyyy (required)

Sex (required)

Address (required)

City (required)

State (required)

Zip (required)

Home Phone (required)

School (required)

Grade (required)

Shirt Size(required)

Father's Name (required)

Work # (required)

Cell # (required)

Email (required)

Employer (required)

Mother's Name (required)

Work # (required)

Cell # (required)

Email (required)

Employer (required)

Does this participant have any special needs that we should know about? YesNo

Additional information (note: this information will be shared with the coaches)

Waiver: I acknowledge that FC Academy Foundation, Inc. Soccer Club provides accident insurance for its programs through Tennessee State Soccer Association. I also recognize that my child or I participate with the understanding of risked associated with any sporting event. I agree that FCA may photograph both me and my child (ren), and the Club may use those photograph for its marketing purposes. I release FCA and all its agents, administrators from any claim or liability related to that use, waive all claims for my/our heirs and assignee against the any individuals, staff and agents associated with FC Academy Foundation, Inc.

I understand that entering my name below and checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Waiver.

Signature of Parent or Guardian

Date mm/dd/yyyy

Please leave this field empty.