Loisaida Youth Soccer || The NUMBER 10 PROJECT

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Summer August 2011 outdoors – Boys and Girls, U9 to U15
This innovative program for committed players elevates their game to the next level

Week 1	Monday, August 15 to Friday, August 19, 9:30 - 3:30 pm
Week 2	Monday, August 22 to Friday, August 26, 9:30 - 3:30 pm
Who should attend Boys and girls age groups U9 to U15. Players with a serious love for the game, those with travel team/ soccer club experience and school team experience. Players with a solid foundation from recreational programs, looking for ways to perform and/or compete at a higher level.
Cost:	One week: $275 Two weeks: $500 Day rate: $70 Sibling discount: Take $25 off one or two week rates for each additional child. Limited Need-Based Scholarships available: Send a BRIEF Email explaining the extenuating economic circumstances to thenumber10project@gmail.com. We will keep a waiting list of applicants and let you know in mid July if you are accepted.
Where:	Manhattan Midtown – Dewitt Clinton Park - W53rd Street and 11th Ave. Directions by subway and bus: Click Here This location has been finalized as of July, 2010.

Please fill out the info below. The Number 10 Project does not share ANY of the information below with any person or organization.
Remember your email is the way we contact you if there are cancellations and important session details.

Pay through PayPal (fastest method to guarantee your child's place in the program), by check, or apply for financial aid.

* required fields

* Child's First Name:

* Child's Last Name:

* Gender:

* Date of Birth:

mm/dd

* Year

* Program Duration:

* Age of child:

* Street Address:

* City:

* State: * Zip Code:

* Email Address:

* My child participated in soccer programs previously? Yes No

Name of club/Program:

Team age group:

Number of years playing soccer:

Please select from the following, those areas which you believe require particular attention for this player.

Ball control/First touch	Composure under pressure	Game reading/Field vision/Anticipation
Finishing/shooting/Volleying	Improving use of weaker leg	Striking the dead ball (eg corner kick)
Tackling/Ball winning	Coordination/Flexibility/Agility	Option identification/Decision making
Juggling/Freestyle	Movement off the ball, without the ball	Dribbling/footwork/1 v 1 moves

Other areas you would like to work on (explain):

* Parent/Guardian First Name:

* Parent/Guardian Last Name:

* Contact Day Telephone:

ex: (718) 567-8899

* Contact Cell Phone:

ex: (212) 123-4567

* Child Doctor Name:

* Doctor Tel Number:

ex: (718) 567-8899

* Child School:

* Yes, my child will bring the following items each day:

Lunch & snack	Shin guards	Water bottles	Soccer ball
Turf shoes	Sun block	Spare t shirt	Rain gear

* Sibling discount? ($25 off!)

Yes No

How did you hear about our program?

* I got the postcard in my child's backpack from school

Yes No

* By reading this paragraph and checking OK, I agree to the following:

I verify that my child has been checked by a physician and is physically able to participate in a sports program. I understand that injuries can happen when participating in such a program and that I, hereby, release, indemnify, and hold harmless Big Apple Seeds, a not for profit corporation, doing business as Loisaida Youth Soccer, the Number 10 Project, the Henry Street Settlement (Boys/Girls Republic), the NYC Department of Education, the NYC Parks & Recreation and its employees and its agents from any liability for damage to, or loss of personal property, sickness and/or injury that may befall by child during their participation in our soccer program. Big Apple Seeds, a not for profit corporation, doing business as Loisaida Youth Soccer, the Number 10 Project , the Henry Street Settlement (Boys/Girls Republic), the NYC Department of Education, the NYC Parks & Recreation and its employees and its agents will not be held legally responsible in these events.

WARNING: Protective equipment cannot prevent all injuries a soccer player might receive while participating in soccer. Big Apple Seeds, a not for profit corporation, doing business as Loisaida Youth Soccer does not limit participation in its activities on the basis of disability, race, color, creed, national origin, gender or religious preferences. I understand and agree that Big Apple Seeds, a not for profit corporation, doing business as Loisaida Youth Soccer, the Number 10 Project, the Henry Street Settlement (Boys/Girls Republic), the NYC Department of Education, the NYC Parks & Recreation and its employees and its agents have the right to deny any individual(s) from the soccer program who do not conform to these rules or is otherwise disruptive, destructive of property or behaves in an unacceptable manner.