Xavier Alumni Mens Soccer Camp

Xavier Mens Soccer

10th Annual Camp 2016

Conducted By: Carroll University Head Men's Coach Rick Mobley and Alumni players

When: Monday, August 1st through Thursday, August 4th. Camp will be from 9am to 12pm daily. (Times may change so keep whole day/evening open)

Where: Xavier High School (east-side soccer field)

Who: Any incoming 8th grade through senior high school player

(not limited to Xavier students)

Cost: $95.00 per family

Make checks payable to: Xavier Catholic Schools

What to Bring: Water, cleats, shorts, white shirt, navy blue shirt, shin guards (mandatory) and running shoes

Alumni Game: There will be a BBQ and Alumni Scrimmage on August 4th. The BBQ will start at 5:30pm and the game will begin at 7:00pm on the stadium field under the lights!

How to Register:Send camp fee and waiver form to:

Xavier High School

Attn: Mens Soccer

1600 W. Prospect Avenue

Appleton, WI 54914

web 2016

2016 Xavier Mens Soccer

Camp Registration/Waiver

Player Name: _________________________Grade: ________________________

Address: _____________________________

_____________________________Phone Number: ________________

Parent Name(s): _________________________________________________________

Email Address(es): _______________________________________________________

RSVP for Family BBQ #: ____________________

I, _______________________________ the natural parent, legal guardian and/or managing conservator of __________________________ do hereby acknowledge and state that said student is presently under my care, custody, and control and that I possess the authority to grant the permission and authorization stated herein, and the student has no conditions which would prohibit or restrict his/her participation in the Xavier Alumni Mens Soccer Camp (August 14, 2016).

I authorize any representative of Xavier High School to locate qualified and licensed medical personnel and/or transport said student to an appropriate medical facility in the event that it may become necessary. I understand that I will be notified as soon as possible in the event of an emergency. My insurance company and I will assume all expenses of such treatment.

Emergency Phone: __________________________

List any allergies: ________________________________________________________________________

________________________________________________________________________

Parent Signature: _________________________________________________________

Date: _______________________ web 2016