2023 Winter Break Soccer Camps

PLEASE USE A SEPARATE FORM FOR EACH CHILD

Winter Break Soccer Camps - Ages 5-14

Please select from the following FULL DAY or HALF DAY camps

Soccer Camp December 21st - 22rd

2 FULL days: $150 // 2 HALF days: $100

Soccer Camp December 27th - 29th

3 FULL days: $225 // 3 HALF days:$175

Soccer Camp January 3rd - 5th

3 FULL days: $255 // 3 HALF days: $175

FULL Day Choices (8 am - 5 pm) HALF Day Choices (8 am - Noon)

All 2 FULL days - Dec 21, 22 -2023 (0 remaining)	All 2 HALF days - Dec 21, 22 -2023 (0 remaining)
All 3 FULL days - Dec 27, 28, 29 -2023 (0 remaining)	All 3 HALF days - Dec 27, 28, 29 -2023 (0 remaining)
All 3 FULL days - Jan 3, 4, 5 -2024 (0 remaining)	All 3 HALF days - Jan 3, 4 ,5 -2024 (0 remaining)

Camp Attendee Registration Info

Child's First Name *

Child's Last Name *

Age *

Gender *

Male

Female

Parent Contact Information

Parent First Name *

Parent Last Name *

Primary Phone# *

Email Address *

Emergency Contact Full Name *

Emergency Contact Phone# *

Street Address *

City *

State *

Zip Code *

Authorized for Pickup *

Medical or Allergies known *

Any Special instructions for camp week

RELEASE OF LIABILITY

General Liability Form

All precautions will be taken to prevent accidents. However, should an accident occur, first aid will be administered and parent and/or doctor will be notified, if deemed necessary. Austin Sports Academy (hereafter referred to as ASA) and staff cannot be held liable for injuries that occur on facility gym premises or otherwise in the care of ASA personnel. I/We assume all responsibility and hereby waive any claim for compensation for injury incurred by myself or my child while at ASA and agree to indemnify or hold harmless the facility, its owners, and employees against any and all claims which may arise from an injury to my child while participating in the program. ASA may use photos and/or video of students, staff and visitors in overview material including website. I hereby grant full permission to ASA and its staff to use any photographs, motion pictures, videos, recordings and any other records of events for any legitimate purposes including commercial advertising.

Cancellations/Refunds

To cancel camp, please email admin@austinsportsacademy.com and provide the campers name and date/name of camp you wish to cancel. Full refunds will be provided if camp is cancelled 2 weeks or more in advance. If ASA is given less than 2 weeks notice, 50% of the camp tuition will be refunded. If less than 1 week notice, 25% of the camp tuition will be refunded. If child does not attend camp during the selected week, no refund is given.

I have read the rules and policies on this page and agree to abide by the above stated guidelines. *

Agree