Elite ID Camp Registration

Camp Director - Coach Gary Williamson

Coach Gary Williamson is the engine behind xG Factor's Elite Camps standards. A proven developer of top talent, he's helped launch boys and girls into top collegiate and professional players who've competed in Division 1 MLS and built high performance environments across the U.S.

From leading National Olympic Development teams to 26 years as Technical Director in Texas and Oklahoma, Coach Gary has shaped pathways, raised callings, and influenced players now honored in the National Hall of Fame.

Armed with a USSF National A License, English FA Full Badge,, and a Master's in Youth Sports Psychology, he brings a rare blend of expertise,edge, and innovation to every session with a player centered approach.

Starts at $165 per individual player. Household discounts at check out.

A pre-camp questionaire will be sent prior to camp start.

Location: Lake Dallas City Park, 101 E. Hundley Drive, Lake Dallas, TX 75065

Dates: 3 Days, 2 Hours per day, time by position

2012 - '15 Saturday. Sunday and Monday. 12/27 - 29

Times: By Position

8:30 - 10:30 am Defenders

11:00 am - 1:00 pm Midfielders

2:00 pm - 4:00 pm Forwards and Goalkeepers

Athlete Name (1)*

First NameLast Name

Which camp will you attend?

20012 - 2015 Camp 12/27 - 12/29

Which position are we working on?*

DefenderMidfielderForward or Goalkeeper

Birth Date (2012 - 2015)*

MonthDayYear

Gender*

MaleFemale

Athlete Name (2) (For Households)

First NameLast Name

Which camp will you attend?

20012 - 2015 Camp 12/27 - 12/29

Which position are we working on?

DefenderMidfielderForward or Goalkeeper

Birth Date (2012 - 2015)

MonthDayYear

Gender

MaleFemale

Athlete Name (3) (For Households)

First NameLast Name

Which camp will you attend?

2007 - 2011 Camp 12/19 - 12/2120012 - 2015 Camp 12/27 - 12/29

Which position are we working on?

DefenderMidfielderForward or Goalkeeper

Birth Date (2012 - 2015)

MonthDayYear

Gender

MaleFemale

Parent/Guardian Information

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Cell Number*

E-mail*

example@example.com

Emergency Information

Emergency Contact's Name*

First NameLast Name

Relationship*

Best Emergency Number*

Does any athlete have any allergies, chronic illness, or medical conditions? If yes, please describe.

Is any athlete prescribed an inhaler? If yes, please explain any instructions.

Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by xG Factor or xG Factor Coaches during the selected camp. In exchange for the acceptance of said child’s candidacy by xG Factor, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless xG Factor or xG Factor Coaches. and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions.

In case of injury to said child, I hereby waive all claims against xG Factor, including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including soccer. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

Medical Release and Authorization

I, as the parent/legal guardian of the child/children listed above authorize said child’s participation in xG Factor event. In and for consideration of my child’s participation in the event, I agree that I will not hold xG Factor, staff, Lake Dallas, or its employees responsible for any loss, damages, or personal injuries that my child may receive as a result of participation. This waiver of liability expressly includes event and camp activities, or while in, on or upon the premises whereby the activity is being conducted and transportation to and from, or in connection with said event or camp. I also agree that my child will follow all instructions and procedures in order to maintain a maximum level of safety. I also give my permission for any emergency medical care or treatment by a trainer or coach.

Confirmation

I understand the above mentioned conditions, and my child/children has/have my permission to participate in the activities planned for the xG Factor Camp.

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

**By submitting the online registration, you are acknowledging that you have read and agree to all Liability Waivers**

I have read and accepted

Acknowledgement by signature and payment.

Registration*

Camper Registration

$165.00 Campers per Household

Enter coupon

Total

$0.00

Payment Methods

Choose from one of the PayPal options to make your payment.