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University of Massachusets Athletics
2006 Massachusetts Soccer Academy Application
March 09, 2006 | Men's Soccer
March 9, 2006
APPLICATION
Massachusetts Soccer Academy 2006 -Please check which session you wish to attend:
o MSA Coed Half Day Soccer School, April 17th-20th, 2006 ($110.00)
o MSA Collegiate Mini-Clinic I, June 20th-22nd, 2006 ($210.00)
o MSA Coed Half Day Soccer School, July 10th-13th, 2006 ($110.00)
o MSA Boy's Team Pre-Season Academy, July 16th-20th, 2006 ($450.00)
o MSA Individual Elite Academy, July 16th-20th, 2006 ($450.00)
o MSA Coed Full Day Soccer School, July 17th-20th, 2006 ($185.00)
o MSA Collegiate Mini-Clinic II, July 31st-August 2nd, 2006 ($210.00)
Make CHECKS payable to Massachusetts Soccer Academy.
A confirmation letter will follow with more details once the deposit is received.
Name (please print) _______________________________________
Address ___________________________________________________
City ______________________________ State_____ Zip_________
Home Phone _____________________ Age ______ Grade _________
Work Phone _____________________ D.O.B_____________________
E-mail_____________________________________________________
High School________________________________________________
Club Team__________________________________________________
Release: I hereby certify that my child is in good physical health and may participate in all academy activities. I will not hold the University or soccer academy personnel responsible in the event of an accident or injury as a result of his/her participation. I also give permission for my child to be given emergency treatment at a local hospital.
X__________________________________________
MAIL APPLICATION & CHECK PAYABLE TO:
Massachusetts Soccer Academy
Boyden Bldg, Men's Soccer, UMass, 131 Commonwealth Ave, Amherst, MA 01003