MTS Reg Form

Make The Save Goalkeeper Training

Kennett Middle School, Conway, NH
August 8 – 11, 2011

Directed By- Giovanni Pacini,
NSCAA National Goalkeeper Academy Staff / NSCAA Master Coach/ Head Mens Soccer Coach at Lasell College

Make The Save Goalkeeper Training has arrived in the Mt. Washington Valley! Directed by Giovanni Pacini, a noted expert in the area of player development with international experience brings his unmatched expertise to the Valley. As a member of the NSCAA National Goalkeeper Staff and credentials that include working with some of the finest coaches in the world, ‘keepers who attend Make The Save will be exposed to the latest techniques in training goalkeepers. This series of sessions is designed for the high school level goalkeeper. Sessions are coed.

Ages 13 to 17 / 2 PM – 5 PM / Kennett Middle School

Fee- $89.00 / Register before April 1^st and receive a $10.00 discount!

Every player who registers gets a free Make The Save t-shirt!

Make The Save Goalkeeper Training is endorsed by the Mt. Washington Valley Soccer Club

2011 MAKE THE SAVE GOALKEEPER TRAINING at Kennett Middle School, Conway, NH
REGISTRATION

·         Complete a registration for each participant attending.
·         Include a physician’s proof of immunization and medical clearance for each registrant.
·         COST: $89.00 (Must be paid in full with each application.)
·         Session I- Ages 13-17 / 2-5 PM / Kennett Middle School

Player Name _________________________________ Address _________________________________________

City / Town ____________________________ State _________ Zip ________ Age _______ Grade ______

Home Phone ( ) ___________________________ Work Phone ( ) __________________________

Cell Phone ( ) ___________________________ E-Mail __________________________________________

Please check t-shirt size: ________ Small ________ Medium ________ Large ________ X-Large

Tuition to Make The Save Goalkeeper Training is $89.00 per session and must be paid in full with this application. Application deadline is July 11th, 2011. Enclose with your application proof of immunization andmedical clearance for each registrant. Families sending more than one child may take a $10.00 discount for each additional child. This cannot be used with any other promotion.

Tuition is non-refundable. Make check payable to Giovanni Pacini and send it with your application to: Giovanni Pacini, 39 Pilgrim Road, Braintree, MA 02184.

The undersigned realizes that there are risks associated with the physical activity within this camp environment. The undersigned agrees not to hold Make The Save Goalkeeper Training, its director, staff, sponsors, and anyone associated with Make The Save liable in the event of injury to the participant noted on this application. In addition, the undersigned agrees to fully compensate Make The Save for any damage incurred by the registered participant on this application.