**Please fill out one form per participant** FÜTSKILZ SOCCER TRAINING  -   632 N. 12th St. #137     Murray, KY 42071    (502-439-4398)

STEP 1 (SIGN UP INFORMATION) PLAYER INFORMATION Player Name:  Player D.O.B: Parent Name:  E-Mail Address:  Home Address: City: Zip:    Home Ph#: Cell #:  Emergency #: Soccer Association/Affiliation Other important information/injuries/illnesses/instructions: FUTSKILZ FIGHT AGAINST CHILD OBESITY/ MCYSA ACADEMY DAY Saturday, August 28th 2010 McCracken County Soccer Complex 9:00am - Noon   Choose Player Level MCYSA Recreational Player Paducah Storm Competitive Player FÜTSKILZ DONATION , GIFT CERTIFICATES and SWEATSHIRTS FIGHT AGAINST CHILD OBESITY DONATION   *Receive a car sticker!* GIFT CERTIFICATES   Choose An Amount $10 $20 $40 FÜTSKILZ SWEATSHIRTS Futskilz Sweatshirt - $28      Select Size YM YL AS AM AL XL XXL XXXL FÜTSKILZ CLASSES- Winter 2011 FÜTSKILZ CLASSES Fütskilz 4 for $40 - $40  (All Open Recreational, Competitive & High School Classes) MONTH Choose Training Month January February March April May June July August September October November December LOCATION Choose Location Draffenville Mayfield Murray Paducah LEVEL Choose Player Level Munchkin (Ages 4-6) Recreational (Ages 6-12) Competitive (Ages 8-14) Futskilz Elite Jrs (Ages 7-12) Elite H.S. Ages (13+) CLASS DAY and TIME Choose Training Day Monday Tuesday Wednesday Thursday Friday Saturday Choose Training Time 9am 10am 11am 12pm 3:30pm 4pm 4:30pm 5pm 5:30pm 6pm 6:30pm 7pm 7:30pm 8pm 8:30pm Other FÜTSPEED CLASSES OVERLOAD TRAINING **Focus on Speed, Power & Explosiveness by Training with Hills, VertiMax, Sleds & More** Ages 11 - 18         FÜTSKILZ CAMPS SUMMER CAMPS   Choose Camp Ballard Camp - June7-10 - $95 Calloway Camp - June 14-18 - $95 Paducah Recreational Camp - June 21-24 - $95 Paducah Competitive Camp - June 28-July 1 - $125 Paducah JV/Varsity Camp - July 5-8 - $145 Paducah PEE-WEE Camp - July 12-14 - $75 KeeperEdge GOALKEEPER CAMP   StrykerEdge OFFENSIVE/SCORING CAMP SOCCER TEAM TACTICS & POSITION CLINIC FÜTSPEED CAMPS ALL-SPORT WEEKLY CAMPS     Choose Camp Paducah - June 1-4 - $125 Benton - June 7-10 - $125 Calloway - June 14-17 - $125 Graves - June 21-24 - $125 ALL-SPORT SUMMER BOOT CAMP   7   FOOTBALL FRIDAYS     FÜTSKILZ ELITE FÜTSKILZ ELITE ANNUAL DUES 2011 Elite Annual Dues - $75 FÜTSKILZ ELITE SUMMER SESSION Winter Elite Jr's (Ages 7-12) - $245    Winter Elite Jr's Sibling Rate - $175  Winter Elite H.S. (Ages 13+) - $245 Winter Elite H.S. Sibling Rate - $175    FÜTSKILZ ELITE CAMPS           DISCLAIMER: Every player - and their parent/guardian, if the player is under 18 - must read this Waiver Form. Choosing "I Agree" at the bottom of this registration page signifies that each person has read, understands and abides by this information. We use up-to-date technology to assure the protection of the financial information you submit with your registration.  All financial data is scrambled as it is sent to us so that it cannot be used by anyone but Futskilz Soccer.  We do not retain and store any sensitive financial information submitted with your registration I Agree I Do Not Agree