Tadpole Clinic
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Print this Article Written by: League Administrator Friday, March 23, 2012Tadpole Soccer
40 min to 50 min sessions / Week
Age: 4 and early 5.
_____________________________
Wednesdays May 2,9,16,23
Time: 10-11am or 11-12pm
Location: Rte 250 Soccer complex for kids
More info log onto www.vsasoccer.com
Call or E-mail us with name, age, gender time slot to reserve spot on roster…..
Only 10-12 students per class.
www.vsasoccer.com
Please Mail Registration to: Valley Soccer Academy
(304) 669 5270 RR 4 Box 505 A
Fairmont, WV 26554
Make checks payable to Valley Soccer Academy
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -PLAYER REGISTRATION TADPOLE Spring 2012
Player Name:_______________________________________________________Age/Gender_________
Parent Name: _____________________________Tel. #_______________________Time______________
I certify that my child is in excellent physical health and may participate in strenuous physical activities, including soccer to be played at camp. Permission is granted for my child to receive emergency medical treatment if needed. I hereby release said camp, Valley Soccer Academy, from any and all liability claims, for injuries or illness occurred while attending camp. I confirm that I am a parent/guardian of the minor named above.
Parent/ Guardian Signature __________________________________________________
(E-mail Important) __________________________________________________
www.vsasoccer.com

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