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Cost:
cell ____________
e-mail address: ______________________________________________________ Club:_______________________________ Clothing size: T shirt: ____________ Position:_______________ Shorts: _______________ Phone #: ________________
Medical insurance: Everyone will need to provide their own medical insurance. We plan to have a trainer on site and a nurse available throughout the week. Any Known Allergies: (food or otherwise) _________________________________ Liability Release: (MUST BE SIGNED BY PARENT OR GUARDIAN) Because of rising insurance costs and our efforts to keep our fee reasonable, all campers must cover themselves for any injury or sickness incurred while attending International Soccer Camp. I hereby authorize and direct the camp staff to exercise and act in their best judgment in the event any medical emergency regarding my child may arise. I confirm that my child is covered by medical insurance. I assume liability for my child during the time he/she is attending the International Soccer Camp In the event of injury or accident, I will release CBC, New Dimensions and the camp staff from any and all liability. Refund Policy: There will be NO refunds once camp begins. Any cancellation PRIOR to Camp: due to our commitment and expenses to bring quality coaches from Europe, there will be a $150 penalty for any cancellation. Signature of parent or guardian: ____________________________________ Mail payment to: DutchTouch International 2875 Wellington Dr. Florissant, Mo. 63033
NEW DIMENSIONS SOCCER is a movement aimed at unifying children from a wide variety of backgrounds on the soccer field for the purposes of fun, fellowship, and competition. Our primary mission is to serve refugee, immigrant, and underprivileged children. Typically played in a 4v4 format, NEW DIMENSIONS SOCCER expands its horizons with the establishment of an international exchange program to include camp experience, skill improvement, 8v8, and 11v11 games toward the total development of both the player and the child.