2010 Mansfield University Elite Soccer Academy

Online Registration Form (Below)

 

Mansfield ELITE Soccer Academy

 

Spring Soccer Instructional Program for

 Kids (Male & Female) Age 5-13

 

The Mansfield Elite Soccer Academy is once again offering a Spring instructional session.  The program will be held at The Soccer Field on the campus of Mansfield  University.  The program will be a two-week, four session program running on Tuesday and Thursday nights during the weeks of April 26th -30th and May 3rd -7th from 5:30-7pm.  See below for details!! All of the programs will include instruction followed by soccer games.  Fill in the form below and mail back to Tim Dempsey at the address given or you can register on-line by going to the following website: www.gomounties.com and then clicking on the Women's Soccer link on the left side of the screen under Fall Sports.  Payment for online registrations will occur the first day of the program.  Questions, contact Tim Dempsey at tdempey@mansfield.edu or call 570-662-4454. 

 

INTRODUCTION LEVEL                                                                                  

 Age Group:                            5, 6, 7  year old boys and girls   

Dates of Program:                 Tues 4/27, Thurs 4/29, Tues 5/4, Thurs 5/6     

Time of Program:                  5:30pm-7pm  

Location of Program:           The Soccer Field at Mansfield University

Cost of Program:                  $35/child 

Program Structure:               45 min. of instruction/45 min. of play

 

INTERMEDIATE  LEVEL         

Age Group:                             8, 9, 10 year old boys and girls

Dates of Program:                 Tues 4/27, Thurs 4/29, Tues 5/4, Thurs 5/6     

Time of Program:                  5:30pm-7pm  

Location of Program:           The Soccer Field at Mansfield University

Cost of Program:                  $35/child 

Program Structure:               45 min. of instruction/45 min. of play

 

ADVANCED LEVEL

Age Group:                            11, 12, 13 year old boys and girls          

Dates of Program:                 Tues 4/27, Thurs 4/29, Tues 5/4, Thurs 5/6     

Time of Program:                  5:30pm-7pm  

Location of Program:           The Soccer Field at Mansfield University

Cost of Program:                  $35/child 

Program Structure:               45 min. of instruction/45 min. of play

 

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Registration Form for Spring Programs                               

 *** Registration will be limited to the first 20 participants that sign up in their age group***

 

 

Participants Name:__________________________________                                              Age:__________

 

Address:__________________________________________                                              Gender: _______

 

                _________________________________________

 

Email: ____________________________________________

T-Shirt Size (additional $10 cost):________________________

 

 

Return Completed Form and Payment to:                Tim Dempsey

    (make checks payable to: MU Soccer)                  Mansfield University

                                                                                    Decker Gym

                                                                                    Mansfield, PA   16933

 

 

 

NOTE:
-This form is NOT an official university application and does not include payment. This form will simply notify Coach Dempsey of your intent to enroll in the clinic. You must send payment through the mail, or pay the morning of the clinic.

-Please send payment to Tim Dempsey at the address above. (Checks payable to MU Soccer)

 

 

PERSONAL INFORMATION

Name - Last First  

Home Address
            Street    
            City   State   Zip

Age     Program # 

Email 

 

 

For Questions or concerns: Contact Tim Dempsey at:

tdempsey@mansfield.edu or at 570-662-4454  (Fax 570-662-4116)