Huntsville High School

Eagles Soccer Camp

 July 11-15 Morning:   Grades 6 & below 10:00 - Noon;   Grades 7-12 Boys 1:00 - 4:00 pm       

Cost: $30     

      This year’s camp will be led by Kevin Shinn. Kevin is the boy’s head coach for Huntsville high School. The purpose of the camp is to improve the basic skills of individual players and to aid in the development of their tactical skills. Kevin Shinn was named the National Soccer Coaches Association of America & Adidas State Boys Coach of the Year for Arkansas Small Schools in 2007, 2008, and 2009 and was selected as the Arkansas 4A Conference All Star Coach in 2008. His coaching record is 207 wins, 116 losses, & 7 ties giving him a 63% winning record.

Contact Information

Return form and payment to Coach Kevin Shinn or fill out all information and mail with check or money order to: 

Eagles Soccer Camp

 Coach Kevin C. Shinn 4855 Madison 2035 Huntsville, AR 72740 Cell: (479) 737-4076 

Email: KCShinn21@aol.com

 

Please PRINT the CAMPER information:

 Camper Name: ________________________________________________________       Date of Birth: _________________ Sex (circle one): Male    Female                                     Grade in school (Fall 2011):________                                                                                    Street Address:_______________________________________________                                     City, State, Zip:________________________________________________________                        Home Phone: (___) __________________________________________                             Cell Phone: (___)________________________________                                                                                                                                                                      E-mail:____________________________                                                PARENT/GUARDIAN information: Parent's Name:_________________________________________________________                       Emergency Phone#_________________________________________________                             Medical Insurance Company:_______________________________ 

Insurance Policy Number:_____________________________________

Parental release:This is to certify that my son/daughter has permission to participate in any and all camp activities. I assume all risks and hazards incidental to such participation and I do hereby agree to hold harmless the staff of the Eagle Soccer Camp from any and all claims arising out of any injury to my child. Furthermore, this verifies that the camper is up to date with his/her immunizations and is able to participate in all camp activities. In the event of injury my permission is granted for treatment as required at the nearest medical treatment facility.Parent/Guardian Signature: ________________________________________Date:___________