Clone of 2026 Summer Soccer Skills

This summer Coaches Conor DeRoos, Jackson Kiel, & Asa Diener are offering sessions for incoming 1st through 5th Graders to work on soccer skills. Sessions are $25 and will take place on June 12, 19 & 26!

Soccer for Elementary School (Incoming 1-5) $25

June 12, 19 & 26 from 1:00-3:00pm

BRING YOUR OWN BALL!!!

Select your Session:

Elementary Session$25.00

June 12, 19 & 26 from 1:00-3:00pm

Quantity

Total $0.00

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Credit Card

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I am aware that this registration fee is non-refundable.

Athlete Information

Athlete's Name

First NameLast Name

Birth Date

MonthDayYear

Gender

Name of School

Does the athlete have any medical conditions

If yes, please explain:

Did you register another athlete?

Athlete Information

Athlete's Name

First NameLast Name

Birth Date

MonthDayYear

Gender

Name of School

Does the athlete have any medical conditions

If yes, please explain:

Did you register another athlete?

Athlete Information

Athlete's Name

First NameLast Name

Birth Date

MonthDayYear

Gender

Name of School

Does the athlete have any medical conditions

If yes, please explain:

Did you register another athlete?

Athlete Information

Athlete's Name

First NameLast Name

Birth Date

MonthDayYear

Gender

Name of School

Does the athlete have any medical conditions

If yes, please explain:

Did you register another athlete?

Athlete Information

Athlete's Name

First NameLast Name

Birth Date

MonthDayYear

Gender

Name of School

Does the athlete have any medical conditions

If yes, please explain:

Did you register another athlete?

Athlete Information

Athlete's Name

First NameLast Name

Birth Date

MonthDayYear

Gender

Name of School

Does the athlete have any medical conditions

If yes, please explain:

Parent/Guardian Information

Name

First NameLast Name

Cell Number

Area CodePhone Number

E-mail

Address

Street Address

Street Address Line 2

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Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by SCS & Coaches during the selected camp. In exchange for the acceptance of said child’s candidacy by Coaces , I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless the SCS & Coaches and all its respective officers, coaches, agents, participants, 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 the Sheboygan Christian School, 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. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

Confirmation

BY AGREEING ABOVE AND SUBMITTING THIS FORM, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT IS EQUIVALENT TO AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.