2009 PDA Summer Camp
 
Registration Form
 
Go to www.pdasoccer.org for more information

  
 
Please check the session(s) you plan to attend -
 
_____ RONALDINHO NIKE NIŅOs:   July 7 - August 13
  Tuesday and Thursday nights, 6:00 - 7:15 PM
  Boys and Girls, Ages 6 - 12

 

Fee:

  $225
 
_____ PRE-SEASON TEAM CAMP:   August 3 - 7
  Monday thru Friday, 9:00 AM - 1:00 PM
  Boys and Girls, Ages 8 - 14

 

Fee:

  $175 ($150 for PDA players)
 

 
_____

PDA TECHNICAL / TACTICAL CAMP SESSION 1:   July 6 - 10
_____

PDA TECHNICAL / TACTICAL CAMP SESSION 2:   August 17 - 21
  Monday thru Friday, 9:00 AM - 1:00 PM
 

Boys and Girls, Ages 6 - 14

 

Fee:

 $175 ($150 for PDA players)
   

 
_____

WOMEN'S PRE-SEASON COLLEGE TRAINING PROGRAM: June 2 - July 30
  Tuesday and Thursday nights, 8:00 - 9:30 PM

 

Fee:

 $295
 

 
 
Player's name:__________________________________Team Name: _______________________________________
 
Address: ________________________________________________________________________________________________________
 
City:  __________________________________________________________________________State: ________ Zip:_________
 
Date of birth: ___________________Age during clinic:__________

 
Home phone:__________________________________  Parent/Guardian Cell phone:__________________________________

 
Email (*important):_____________________________________________________________________
 
Emergency contact:___________________________________________ Phone:______________________________
 
Medical conditions/allergies:______________________________________________________________________________________
 
Medications:_____________________________________________________________________________________________________

 
 The above named applicant is in good health and has my permission to participate in this program. In the event of an emergency requiring medical attention,
I hereby grant permission to a physician designated by the Players Development Academy to attend to my child. I, the undersigned, waive the Players
Development Academy from any and all claims of damages to person while at this clinic site.
 
 Parent/Guardian signature:________________________________________________ Date:____________
  
Mail registration form with check (payable to PDA Soccer Programs) to:
PDA Soccer Programs/Sam Nellins, 18 Iroquois Trail, Denville, NJ 07834