BISHOP LUERS BOYS SOCCER
High School Camp: Including incoming
freshmen
Times: June 24th 3:00 pm-5:00 pm
June 25th 9:00 am-11:00 am
June 25th 3:00 pm- 5:00 pm
June 26th 9:00 am-11:00 am
June 26th 7:00 pm- 9:00 pm (Inter-squad Scrimmage)
June 27th 9:00am – 11:00am
Where: Fort Wayne Sports Club
Cost: $45.00
Please detach bottom of this form and return to:
Bishop Luers Boy’s Soccer Camp.
333 E. Paulding Road
Fort Wayne, IN. 46816
Make checks payable to Bishop Luers Boys Soccer.
For additional information contact: Coach Myers@ jmyers@weigandconstruction.com
Name: _____________________________Grade 2008: ______Phone: ______________
I
________________________ am the parent or legal guardian of
___________________
a minor who lives with me at ________________
In ________________________County, in the State of Indiana. I give my permission for __________________________, Age _______ to participate in the Bishop Luers Soccer Camp as described above. I realize that there are certain inherent risks involved with all athletic camps and I agree not to hold Bishop Luers High School or any coach or staff members responsible for possible injury due to participation in or attributed to participation in said camps. I give permission for Luers staff or coaches to seek any medical attention necessary for my child in an emergency situation.