SUMMER SOCCER ACADEMY

REGISTRATION FORM SHOCKERS FC– ACADEMY -Summer 2016 Academy                

 

 

Name                                                                                Age                     ____

 

Club/High School _________________________________________________

 

Graduation year_______________

 

Email___________________________________

 

Address                                                                      

 

City/State/ZIP ___________________________________________

 

Phone (daytime)                                                

 

Phone(Cell)________________________________

 

Emergency Contact                                                   

 

Phone___________________________________

 

Parent/Guardian signature                                                      _________________

 

MAKE CHECK PAYABLE TO: Rocky Orton ▪ MAIL TO▪ 14417 S. Chalet Dr▪ OLATHE▪ KS▪ 66062

Cost is $100.00 for Sumer Academy

 

 

 

 

 

 

**Cost is $100.00 for All Sessions. Make checks Payable to ROCKY ORTON.

Here is the Summer Academy Schedule:

All sessions will be at: 6pm-7:30pm on Tuesday’s/Thursday’s

 

May 31st (Tues)

June 2nd (TH)

June 7th (Tues)

June 9th (TH)

June 14th (Tues)

June 16th (TH)

June 21st (Tues)

June 23rd (TH)

June 28th (Tues)

June 30th (TH)

 

 

Sessions will be held at:

 

Academy sessions and Tryouts will be held at:  Park Wood Presbyterian Church.  Address: 13001 Quivira Rd, Overland Park, KS (Next to Bentwood Elementary School on Quivira).