Bayou City Lobos Summer Camp

Bayou City Lobos Summer Camp

Open to ages 6 and up

Battle Line Sports Texas LLC

2010 Pech Rd, Houston, TX 77055

Club Email: bayoucityfclobos@gmail.com

Mira Mupier - Technical Director

Telephone: 979-331-4010

Priscilla Blossom - Administrator

Telephone: 281-686-8430

Half Day Camp Dates

Session 1: June 23rd - June 27th

Session 2: June 30th - July 3rd**

Session 3: August 4th - August 8th

8:30am to 12:00pm

Half Day Camp Cost: $265

Daily Rate: $53

Snacks included

**Reduced rate - 4 day camp week

Full Day Camp Dates

Session 1: June 2nd - June 6th

Session 2: July 21st - July 25th

Session 3: July 28th - August 1st

8:30am to 2:00pm

Full Day Camp Cost: $425

Daily Rate: $85

Lunch and snacks included

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

Half Day Camp - Session 1 - June 23rd - June 27th - $265Half Day Camp - Session 2 - June 30th - July 3rd - $212** 4 day weekHalf Day Camp - Session 3 - August 4th - August 8th- $265Full Day Camp - Session 1 - June 2nd - June 6th - $425Full Day Camp - Session 2 - July 21st -July 25th - $425 (No spots available. Waitlist only)Full Day Camp - Session 3 - July 28th - August 1st - $425 (Availability Thurs and Fri only.)Half Day Camp - Daily Rate - Provide Dates BelowFull Day Camp - Daily Rate - Provide Dates Below

Enter dates for Single Day/Daily Rate Option

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

Emergency Contact & Health Insurance Information

Emergency Contact's Name*

First NameLast Name

Relationship*

Phone Number*

Area CodePhone Number

YesNo

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 the nearest hospital. 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

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.

YesNo

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