Cleveland Select Fall Mini Lyons Class,

Finishing Class Registration

Mini Lyons / Finishing class
Dates - every Monday and Wednesaday
August: 17, 22, 24, 29, 31
September: 7, 12, 14, 19, 21, 26, 28
October: 3, 5, 10, 12 / Dates - every Monday and Wednesaday
August: 17, 22, 24, 29, 31
September: 7, 12, 14, 19, 21, 26, 28
October: 3, 5, 10, 12
Times
5:30pm to 6:30pm / Times
5:00pm to 5:30pm
Price
180.00$ / Price
130.00$
Location
All Classes will take place at HawkenUpperSchool
12734 County Line Rd, Gates Mills,O, 44026 (we meet by the Pavilion by the soccer fields)

Price
Per session - payable to Cleveland Select (class size limited - first come first serve)
Bring
Inflated Soccer Ball, cleats, water

CLASS: [ ] Finishing Class [ ] Mini Lyons [ ] Foot Skills Class [ ] Goalie Class

NAME OF PARENT: ______

NAME OF CHILD: ______

BIRTHDATE OF CHILD DOB: Mo______/Day______/Year______

SEX OF CHILD: ______

MAILING ADDRESS: ______City______Zip______

PHONE NUMBER: (_____)-______-______

EMAIL ADDRESS (PLEASE PRINT): ______

Legal Notice: I hereby agree that the Cleveland Select and/or Dani Giulvezanandany Soccer Facilities that will be used,shall not be liable for any injury or loss, which my child (run) may sustain while participating in this soccer clinic.I also, hereby, agree to indemnify and to hold harmless the Cleveland Select and/or Dani Giulvezan or HawkenUpperSchool from any claim whatsoever! The above applicant is in good health and has my permission to participate in this program. In case of emergency, I grant permission for my child (ran) to receive emergency treatment at HillcrestHospital.

SIGNATURE: ______

Please mail your registration, and the fee, to the following address:

Cleveland Select Soccer Club

Club Mailing Address: 9945 Bainbridge Road, Auburn,Ohio, 44023

(Please make checks payable to Cleveland Select)

Any questions please contact - or call 216.926.3769.