PAT MCBRIDE
FLORISSANT UNITED
SOCCER CAMP

DATE:     June 23 through June 27, 2003
LOCATION:     Bethel United Church of Christ     (14700 New Halls Ferry Road)
TIME:     6:00 P.M. - 8:00 P.M.    (10 hours)

FEE:    $60.00 per camper.
$50.00 for each additional child in the same family.

AGES:    Boys and Girls ages 5 through high school.
Players are grouped by age and ability for maximum learning experience.

STAFF:    Pat McBride will direct all sessions.
Ratio of 1 coach for every 10 players.

FEATURES:
1.    T-shirt for each player.
2.    Individual evaluation sheets.
3.    Goalkeeper training will be included.
4.    Gatorade and Chewys everyday.
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Please complete and return with check to:
Pat McBride Soccer Camp
c/o Terry Clemons
13100 Old Halls Ferry Road
Florissant, MO 63033

MAKE CHECKS PAYABLE TO:    PAT MCBRIDE SOCCER CAMP

CAMPER NAME:___________________________________AGE:________PHONE: ________________

ADDRESS:_______________________________________________________BUS. PHONE: ______________

CITY,STATE, ZIP: _______________________________________________________________

My permissiion is hereby granted for the above named applicant to be medically treated for accident
or injury which may occur during Pat McBide's Soccer Camp. I accept that individuals participating in
this camp do so at their own risk. I hereby release Pat McBride Soccer Camp, its sponsors, and staff from
any and all claims, liability, loss of service and causes of any kind for personal injury and/or property
damage arising in any way out of said participation.

GUARDIAN:________________________________       ________________________________     _________________
                       Signature                                     Print Name                                Date