Bayou City Lobos Fall Warm Up Camps 2023

Bayou City Lobos August Clinics

Battle Line Sports Texas LLC- 2010 Pech Rd, Houston, TX 77055

Bayoucityfclobos@gmail.com

Mira Mupier, Technical Director

Telephone: 979-331-4010

Priscilla Blossom, Administration

Telephone: 281-686-8430

The Bayou City Lobos are hosting a series of warm up clinics in August to help soccer players prepare for the upcoming season. This co-ed training is open to all ages and skill levels. Clinics are open to all athletes including those not currently training with Bayou City. Please select the week or weeks that work best for your athletes.

Please reach out to Mira or Priscilla with any questions. We look forward to seeing your athletes at camp!

Athlete Information

Player Name

First NameLast Name

Address

Street Address

Street Address Line 2

City

Postal / Zip Code

Player Date of Birth

Date

Parent Information

First NameLast Name

Cell Phone

Area CodePhone Number

E-mail

Soccer skill level

	1	2	3	4	5

1 is Beginner, 5 is Advanced

Session Preference

Please list other players you want to be grouped with. This will be accommodated as best as possible.

Important Notes · Cleats, Shin guards and water required for each practice. · No food or drink on the turf. · Keep the facility clean. · Bayou City FC organizers reserve the right to form the teams to ensure the talents of all teams are balanced. · Invoices will be sent for payment have registration has been received.

Emergency Contact & Health Insurance Information

Emergency Contact's Name

First NameLast Name

Relationship

Phone Number

Area CodePhone Number

Does you have any allergies, chronic illness, or medical conditions that would limit high level activity?

Please describe

Parental Permission For Emergency Treatment In the event of illness or accident, I give my permission for emergency treatment by qualified medical personnel for my child, and I authorize the person in charge to take my child to: I give consent for the facility to secure any and all necessary emergency medical care for my child.

Name of Physician / Emergency Medical Care Facility

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Area CodePhone Number

Release of Liability Although the safety of all sport activities is the primary concern, soccer activities at Bayou City FC's rented facilities may cause injuries. I expressly assume the risk of injury, death, and/or illness arising from any cause, and agree to waive the right to pursue any claim against the Bayou City FC Lobos, Battle Line Sports TX LLC and the persons in charge.

I have read and agree to the above conditions

Confirmation E-mail

Signature

After completing this form, please click Submit Form. You will receive a confirmation email. If you do not receive the email within a few minutes, please check your spam; otherwise, please contact us at bayoucityfclobos@gmail.com