Summer 6v6 league

This is the fifth year Soccer Player Development is running The Summer Youth League.
As most coaches requested, the Summer League will be at Backs Mill 137 Bucks Mill Rd, Colts Neck
& will start on Tuesday June 26 for the younger age group & Thursday June 27th for U14, & up If you have any question, feel free to contact me

Email:

bksoccerpd@aol.com or call Ben Konate 732-670-5891

6v6 League U9 &10:

Starts Tuesday, June 26th to August 14th,

6v6 League, U11 &12:

Starts Tuesday, June 26th to August 14th,

6v6 League, U13 & 14:

Starts Thursday, June 28th to August 16th,

6v6 League, U14 & up:

Starts Thursday, June 28th to August 16th,
Games are two 30 minute halves. 1 game per week between 6:00 & 8:30 PM for 8 weeks.

Price:

$100.00 per player with a maximum of 10 players per team.

Individual Registration Form

Full payment is required with this registration. Checks are to be made payable to Soccer Player Development, 820 N Concourse, Keyport, NJ 07735

Player Full Name (required)

Boys (required)

Girls (required)

Age (required)

Level (required)

Email Address (required)

Address (required)

City (required)

State (required)

Zip (required)

Cell Phone (required)

Emergency Contact:

Name (required)

Phone (required)

Cell (required)

Waiver Information

I certify that my child (Ren) is in good health and is/are able to participate in physical activity including all sports. I agree to hold SPD, its agents and employees harmless for any and all claims for injuries sustained during my child (Ren)’s participation in the program. Permission is granted for my child (Ren) to receive emergency medical treatment.

Parent Signature (required)

Credit Policy

A voucher for the full program fee will be issued for any cancellation prior to camp. No cash refunds.
I, the undersigned hereby certify I am legal guardian of above camper.

Legal Guardian Name: (required)

Legal Guardian Signature: (required)

Date (required)