Coach Kickken - Camps Signup - Spring 2014
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SOCCER CAMPS - SPRING 2014 - Disclaimer AND Signa ture I hereby grant permission as a parent or authorized guardian for my child to attend Coach Kickken Soccer, Inc. (herein “CKS”) and to be treated by a licensed physician in the event of an injury, accident, illness or other mishap during the course of participation. I understand that CKS will not be held responsible for personal injury occurring as a result of CKS participation. I also understand that insurance will not be provided by CKS and I agree to provide my own. Therefore, I will be fully responsible for any medical or other charges in connection with my child’s attendance of CKS. I hereby release CKS, its agents and its employees from any and all liability arising from injury, loss or death of my child that may occur while participating in CKS. Signature: ______________ ________________ ________ Date: ____ HOW TO PA Y Please make all checks payable to: Coach Kickken Soccer Contact Coach Kickken at: [email protected] (251) 895-2389 Find Us Online at: http://www.CoachKickken.com On Facebook at: http://www.facebook.com/CoachKickkenSoccer COACH K ICKKEN SOCCER, INC. PO BOX 501199 MOBILE, AL 36605 Register YOUR CHILD Parent/Guard ian Name: ________________________________________ Address: ________________________________________ City: State: Zip: ______________ ______ _____ ________ Home Phone: Cell/Alt. Phone: ____________________ ________________ E-mail: Child’s Name: ________________________________________ Age: Gender: ____________ _____________ Date of Birth: T -Shirt Size: ___/___/____ _____________ GOT SOCCER?
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Transcript of Coach Kickken - Camps Signup - Spring 2014
7/22/2019 Coach Kickken - Camps Signup - Spring 2014
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SOCCER CAMPS
- SPRING 2014 -
Disclaimer AND Signature
I hereby grant permission as a parent or authorizedguardian for my child to attend Coach KickkenSoccer, Inc. (herein “CKS”) and to be treated by alicensed physician in the event of an injury, accident,illness or other mishap during the course ofparticipation. I understand that CKS will not be heldresponsible for personal injury occurring as a result of
CKS participation. I also understand that insurancewill not be provided by CKS and I agree to providemy own. Therefore, I will be fully responsible for anymedical or other charges in connection with mychild’s attendance of CKS. I hereby release CKS, itsagents and its employees from any and all liabilityarising from injury, loss or death of my child that mayoccur while participating in CKS.
Signature: ______________________________________
Date: ____________________
HOW TO PAY
Please make all checks payable to:
Coach Kickken Soccer
Contact Coach Kickken at:
(251) 895-2389
Find Us Online at:
http://www.CoachKickken.com
On Facebook at:
http://www.facebook.com/CoachKickkenSoccer
COACH K ICKKEN SOCCER, INC.
PO BOX 501199
MOBILE, AL 36605
Register YOUR CHILD
Parent/Guardian Name:
________________________________________
Address:
________________________________________
City: State: Zip:
____________________ _____ ________Home Phone: Cell/Alt. Phone:
____________________ ________________
E-mail:
________________________________________
Child’s Name:
________________________________________
Age: Gender:
____________ _____________
Date of Birth: T-Shirt Size:
___/___/____ _____________
GOT SOCCER?
7/22/2019 Coach Kickken - Camps Signup - Spring 2014
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About Coach Kickken Soccer
About Coach Kickken Soccer
Coach Kickken Soccer teaches kids and teens
basic soccer skills through fun drills and
enjoyable games. These drills are designedto teach the fundamentals of soccer in an
enjoyable, positive environment that is
geared to keep kids focused, engaged and
entertained.
Your kids will get a great workout! Because
sessions are limited, your child’s skill and
potential will improve sooner due to
maximized touches on the ball and a certified
instructor focused on technique and detail.This is necessary attention needed to achieve
your soccer goals.
Coach Kickken Soccer will help your child or
teen develop skills that will enable them to
easily transition into more competitive
leagues as they grow up.
Coach Kickken Soccer’s unique approach to
soccer skill development gives your child the
confidence they need to explore the game ofsoccer in a supportive, safe environment.
Skills Covered
Each session will cover the same basic skills,
however the curriculum is set up uniquely for
each individual session. We encourageparents or guardians to sign up their kids for
more than just one camp. Only one
registration is required.
About COACH JACK KICKKEN
Coach Kickken grew up in The Netherlands
and came to the US in 2002. During and after
his playing career, he has successfully
coached youth teams at all kinds of different
levels. He was the head coach of St. Luke'sEpiscopal School boys' soccer program, he
coached at St. Paul's Episcopal School and at
the Mobile Soccer Club. Coach Kickken is
married to Christie Jo and they have a son
named Jeremy. Currently Coach Kickken is
coaching varsity boys and girls in Greene
County, MS.
PRACTICE MAKES PERFECT!
Coach Kickken Spring Camp is for children
ages 3 to 8. Practice sessions are provided
during March 15th through May 17th.
LOCATION AND COSTS
Spring 2014 Camp Field Location:
9565 Scott Dairy Loop Rd. S.,
Mobile, AL 36695
The costs are as follows:
Ages 3-4: $125.00 for 2 months
Ages 5-6: $125.00 for 2 months
Ages 7-8: $165.00 for 2 months
Costs include a free t-shirt!
