We Hope to See You at One of Our Taneytown Camps!

Hicks Pro Soccer Academy is proud to announce that we have partnered with FSK Jr. Eagles Soccer Club for the summer of 2018. In doing so, we are offering a 30% discount for our scheduled Taneytown camps for ages 5-13. The purpose of this discount and partnership with our local club is to increase interest and knowledge of the sport with kids learning the game.

We will provide a 5-day camp, 3 hours each day with qualified coaches for all levels of play. Each child will receive a ball and t-shirt to keep. Our last day of camp concludes with a pizza party, competitions, and prizes!

We hope to see you at one of our Taneytown Camps!

In order to receive the discount, please complete the registration form below.

Eligible Camps:

#1 - June 25 to June 29 (5pm – 8pm) @ Roberts Mill Park

#4 – July 23 to July 27 (9am – 12pm) @ Roberts Mill Park

*No other discounts can be combined with this offer and the child should be signed up for fall soccer registration with FSK Jr. Eagles Soccer Club. If registered for both camps, only one ball and t-shirt will be provided *

Check us out at:

FSK JR EAGLES SOCCER and HICKS PRO SOCCER ACADEMY

2018 Discount Registration Form

Eligible Camps:

#1 - June 25 to June 29 (5pm – 8pm) @ Roberts Mill Park

#4 – July 23 to July 27 (9am – 12pm) @ Roberts Mill Park

CAMP SESSION NO(s).______

NAME______

ADDRESS______

______

CITY, STATE ZIP______

BOY/GIRL, AGE______
SHIRT SIZE (Circle One) - XL - L - M - S - YM - YS

PARENT/GUARDIAN NAME______

PHONE______

*IN CASE OF EMERGENCY

CONTACT PERSON & PHONE # ______

E-MAIL ______

TOTAL PAYMENT AMOUNT (SEE BELOW): $______

PAYMENT INFORMATION

SESSION #1 or #4 (only): (3 HOURS PER DAY) $100.00NON-REFUNDABLE

PLEASE MAKE CHECK OR MONEY ORDER PAYABLE TO:
HICKS PRO SOCCER ACADEMY
229 Colbert Street

Taneytown, MD 21787

WAIVER AND RELEASE OF LIABILITY FORM-- PLEASE READ BEFORE SIGNING

I HEREBY AUTHORIZE THE “HICKS PRO SOCCER ACADEMY” TO ACT ON MY BEHALF ACCORDING TO THEIR BEST JUDGMENT IN ANY MEDICAL EMERGENCY. I HEREBY WAIVE AND RELEASE THE “HICKS PRO SOCCER ACADEMY”, AND CAMP STAFF AND REPRESENTATIVES FROM LIABILITY AND ALL RIGHTS AND CLAIMS FOR INJURY OR ILLNESS WHICH MAY OCCUR AT CAMP OR AS A RESULT OF ANY CAMP ACTIVITIES. I GIVE CONSENT FOR MY CHILD TO BE PHOTOGRAPHED, VIDEOTAPED OR FILMED WHILE PARTICIPATING IN CAMP ACTIVITIES AND FOR THE RESULTING IMAGES TO BE USED BY THE “HICKS PRO SOCCER ACADEMY” FOR PROMOTIONAL PURPOSES.

SIGNATURE OF PARENT/GUARDIAN______
DATE: ______