Clone of Winter Holiday Lobos Camp 2024

Bayou City Lobos Winter Camp

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

Camp Dates

Monday, December 22nd

Tuesday, December 23rd

Monday, December 29th

Tuesday, December 30th

Monday, January 5th

8:30am to 12:00pm

Daily Cost: $55

All 5 days: $250

(Snacks Provided)

Invoice will be sent after registration has been submitted.
Athlete Information
Player Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Player Date of Birth*

MonthDayYear
Date
Parent Information*

First NameLast Name
Cell Phone*
E-mail*
example@example.com
Select Camp Dates

Monday, December 22ndTuesday, December 23rdMonday, December 29thTuesday, December 30thMonday, January 5th
Soccer skill level*

1

2

3

4

5

1 is Beginner, 5 is Advanced
Please list other players you want to be grouped with. This will be accommodated as best as possible.
Emergency Contact
Emergency Contact's Name*

First NameLast Name
Relationship*
Phone Number*
Does you have any allergies, chronic illness, or medical conditions that would limit high level activity?*

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: 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
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*

YesNo
Confirmation E-mail*
example@example.com
Signature*

Clear
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
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