Drills & Scrimmages at Takoma Park Middle (9:00 a.m. – 3:30 p.m.)
Chief instructor – the popular Adrian Baez, varsity coach at Blair Director -- Howard Kohn
Have Fun & Learn Soccer!!!!
July 21 - thru – July 25
and /or
July 28 -thru- August 1
(Limit of 95 players: First come, first served. Each player will be sent a letter with a full list of information.
For questions contact Howard Kohn at 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 camp week):
Medical Needs or Other Special Information:
Did you also register separately for the TP Rec. Dept. before-care or after-care? before-care after-care neither
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: $185/week (Write checks to Takoma Park Soccer or TPNYS)
Mail to: TPNYS, 16 Jefferson Ave., Takoma Park, Md. 20912