Drills & Scrimmages at Takoma Park Middle School (9:00 - 3:30)
Chief instructor - the popular Adrian Baez, Einstein varsity coach Director - Howard Kohn
Have Fun & Learn Soccer!!!!
July 24th - thru - July 28th
July 31st - thru - August 4th
Full day (9:00-3:30) OR
Half day (9:00-Noon) *
(First come, first served.
Each player will be sent an email with a full list of information.
For questions contact Howard Kohn at email@example.com.)
Names of Parents
Phone (home) (work)
E-mail address (important!)
Name & Number of Emergency Contact (during camp week):
Medical Needs or Other Special Information:
Did you also register separately for the TP Rec. Dept. before-care or after-care? before-care after-care neither
I hereby give my child permission to participate in this soccer program.
I understand that no accident insurance is provided,
and I agree that I will not hold Takoma Soccer or
the Takoma Park Recreation Department responsible for
any injury sustained while participating in this program.
Signature of Parent or Guardian ______________________________________________
Fee: $185/week (Write checks to Takoma Soccer)
Mail to: Takoma Soccer, 16 Jefferson Ave, Takoma Park, MD 20912