Monday through Thursday

Madison FC

Soccer Camp

Madison, WI 53704
2100 Portage Road
July 26 - 29, 2010
Pre-Season

Reindahl Park
2010 Fall
presents

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Madison FC
5410 Greenleaf Drive
Madison, WI 53713
"This  is  not  a  school  sponsored  activity  and  the  Madison  Metropolitan  School  District  does  not  
approve,  support,  supervise  or  endorse  this  program/activity."
 FEES:

Boys Varsity

Eric Bertun
608-225-8662
Avenue (Hwy 151).

ncaaref@tds.net
CAMP DIRECTOR:
$85 (U11 and up)
$45 (U9 and U10)

Ben Levey, MFC U12 Classic

Serigne Sarr MFC U14 & MFC U23

Haroot Mesdjian, MFC U13 Premier

More College Guest Coaches TBA!

Jörg Brendel, MFC U12 Girls Premier

& Madiison FC Boys’ Coaching Director

Reindahl Park
6:00 – 8:30 p.m. (U11 and up)
TIMES: 6:00 – 7:30 p.m. (U9 and U10)

Shin Guards, Water, White T-Shirt.

Enzo Fuschino, UW-Platteville Men & Women

MFC Pre-Season Soccer Camp

Bouch Sahel, MFC U14 State League & MFC U23

The well-groomed fields at Reindahl Park are

Eric Hanson, MFC U9/10, UW-Badgers All Big Ten
BRING: Turf shoes/Cleats, INFLATED soccer ball,

ON-SITE REGISTRATION AVAILABLE

www.madisonfc.com
Shant Mesdjian, MFC U15 Midwest Regional League
Madison FC Staff/Guest Coaches Scheduled to Attend:

among the best in the Madison area. Reindahl is

the Arby’s and Office Depot off East Washington

Nick Genova, MFC U10, McFarland Girls & Waunakee

located across from East Towne Mall, just behind

Jessica Fenner, MFC Girls U14 & East HS Girls Varsity
Monday through Thursday, July 26-29, 2010

ALL Coaches hold USSF National D (or higher) Licenses!

---------------------------- Detach Here: Mail Form and Payment -------------------------
Madison FC 2010 Fall Pre-Season Soccer Camp  July 26-29, 2010, Reindahl Park
Mail check (payable to Madison FC) and form to: Madison FC, 5410 Greenleaf Dr., Madison, WI 53713

(Check ONE Player Category Below Based on Child’s Age/Grade for the FALL 2009 Season)
Use a separate form for each player!

______ U9 and U10 (3rd or 4th grade) Fee = $45 Camp TIME: 6:00 – 7:30 pm

______ U11 and up (5th grade and up) Fee = $85 Camp TIME: 6:00 – 8:30 pm

PLEASE PRINT VERY CLEARLY

Player Name _____________________________________________________________________ Age ________

Address __________________________________________ City ________________________ Zip ___________

EMERGENCY Phone (s)_________________________________________________________________________

Email**_____________________________________________________________________________________

**You will receive camp confirmation via email; PLEASE PRINT LEGIBLY!
WAIVER OF LIABILITY: I, the parent/guardian of the individual named above, do hereby agree to indemnify and hold harmless Madison
FC, Inc. and its employees, officers and agents from and against all liability resulting from participation in the soccer camp activities. I
understand that the program in which I am enrolling, like all activity and sports programs, has some inherent risk, for which I agree to
assume liability. Furthermore, the individual named herein is in good physical health, appropriate for the activities in which he or she will
be participating. I understand that Madison FC, Inc. does not provident accident insurance. In the event of a medical emergency and I
cannot be reached, I authorize Madison FC, Inc. to obtain medical treatment for my son, daughter or legal ward.

Parent/Guardian Name_________________________________________________________________________

Parent/Guardian Signature________________________________________________Date__________________