TRANSYLVANIA GYM & SOCCER LLC
Tel / Fax: (203) 778-6623
WINTER
2011 -2012 SOCCER TRAINING @ ROSENTHAL JCC (10 PRACTICES)
LOCATION: ROSENTHAL JCC (
WHEN: ON SATURDAYS, DECEMBER 3, 2011 to MARCH 17, 2012
Dates: Dec. 3, 17, Jan. 7, 14, 21, February 4, 11 March 3,
10, 17, 2012
(THERE ARE NO CLASSES
on the following dates: Dec 10, 24, 31
Jan 28, Feb 18, 25, 2012)
TIME:
- 9:00 – 10:00 AM – First & Second
grade boys (6-8 years of age)
- 10:00 – 11:00 AM – Kindergarten Boys
& Girls (5-6 years of age) –
- 11:00 – 12:00 PM – First & Second
& Third grade Girls (6-9 years of age) – separate groups
- 12:00 PM – 1:00 PM –Third /
THE SPACE IS LIMITED TO NO MORE THAN 22 PARTICPANTS / EACH CLASS!
FEES: $ 235.00 / child
for all the programs from the above
WEATHER –For weather cancellations please check our web site (www.Transylvaniasoccer.com), prior to arrive at the gym / Rosenthal JCC.
TRANSYLVANIA SOCCER is
offering all winter long soccer clinics/training for boys & girls ages 5 to
18, at different sessions, dates and times. Our goal is to develop each player
his /her individual technical ability with the ball, developing quick feet and
speed of thought, feel for match rhythm. The program will include also fitness
training as lighting quickness, Balance and core stability, acceleration and
speed, mixed anaerobic – aerobic capacity for endurance.
PLEASE PRINT & MAIL PAGE 2 (NEXT PAGE) WITH THE CHECK
Page 1
REGISTRATION FORM
I am registering my child for the following program (please circle / check one):
- 9:00 – 10:00 AM – First & Second
grade boys (6-8 years of age)
- 10:00 – 11:00 AM – Kindergarten Boys
& Girls (5-6 years of age) –
- 11:00 – 12:00 PM – First & Second
& Third grade Girls (6-9 years of age) – separate groups
- 12:00 PM – 1:00 PM –Third /
PARENTS NAMES
……………………………………and…………………………………….
CHILD’S NAME……………………………………………………Birth
date……….…….…...
ADDRESS:
STREET………………………………………………………………………………
TOWN………………………………………STATE….………….ZIP
CODE…………………
TEL.
HOME……………………………….EMRGENCY PHONE……………………………..
E-mail……………………………………………………………………………………………….
Waiver of Liability / Emergency Authorization
To enable Transylvania Gym & Soccer LLC, and Rosenthal JCC to accept registration and permit participation in Transylvania Soccer LLC’ s activities, by the above named player, I, player’s parent / guardian, hereby give my consent to his / her participation and agree to release, indemnify, and hold harmless, Transylvania Gym & Soccer LLC, Rosenthal JCC, their officers, coaches, and representatives from any claim or liability involving any injury to any player arising out of
In case of emergency, I hereby authorize treatment and
care of player by any hospital, doctor, or emergency or ambulance association.
LIST ALLERGIES AND / OR LIMITATIONS:
…………………………………………………………………………………………………………………
_______________________________________________
Parent’s or
Guardian’s Signature
To enroll at the program a parent / guardian shall complete
all registration form and send it, with the check ($235. 00) to: TRANSYLVANIA
GYM & SOCCER LLC,
Transylvania GYM &
SOCCER LLC
11 Grace Court, Bethel, CT - 06801
Phone: 203 778 6623, Fax: 203 778 6623
E-mail: constantin.albu@snet.net