Drills & Small-sided Scrimmages at Takoma Park Middle field & gym
Director – Adrian Baez, Blair varsity coach
Have Fun! Learn Soccer!
Half-day program (9 a.m. - Noon)
Monday – March 24th - thru - Friday - March 28th
Limit of 60 players. First-come, first-served. You will be sent a letter with a full list of information. For questions contact Howard Kohn (kohn@erols.com).
Player’s Name Birth:
Grade Gender
Names of Parents
Address
Phone (home) (work)
E-mail address (important!)
Name & Number of Emergency Contact (during program week):
Medical Needs or Other Special Information:
I hereby give my child permission to participate in this soccer program. I understand that no accident insurance is provided, and I agree that I will not hold TPNYS or the Takoma Park Recreation Department responsible for any injury sustained while participating in this program.
Signature of Parent or Guardian ______________________________________________
Fee: $75 (Write checks to Takoma Park Soccer or TPNYS)
Mail to: TPNYS, 16 Jefferson Ave., Takoma Park, Md. 20912