2 DAY SOCCER CAMP > EAGELS – KNIGHTS @ MKHS
Autumn Soccer Camp
Eagles / Knights
Boys & Girls
Ages: 4 – 14
November 8th & 9th (Teachers’ Convention – No School)
Camp Fee: Early Registration – $50.00 by Oct 31st ($60 after Oct 31)
Camp Director: Mike Mugavero Presently the Varsity Boys’ Coach at Morris Knolls High School. 2017 NJAC “National Conference” Champions. Voted by the Morris County Coaches as “Coach of the Year” in 2006. He was an All-State Player at Morris Knolls. He played Division I Soccer at the University of Massachusetts and coached Division I at Stetson University. He has his USSF “C” and NSCAA “National” Licenses and has coached ODP. He also played Professionally in the USISL for the Orlando Lions. Coached a Morris Knolls player in 2017 who earned “USC ALL – American” & “New Jersey High School – Player of the Year” Honors.
Send Registration Form and Checks payable to: United Soccer
Questions? Call/E-mail – Mike Mugavero 19 George Street, Denville NJ 07834
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2018 Autumn Soccer Camp
Phone:___________________ Emergency #________________
(Please check appropriate level)
Travel Team______ Recreation/In-house_______
Age:___________ Boy / Girl (circle)
Free T-SHIRT SIZE: (circle one) Youth: S M L Adult: S M L XL
If you want to purchase a SOCCER BALL, add $10.00 to cost (circle one) Size 4 Size 5
Please list any and all medications, allergies, or misc. physical disabilities which we should be aware of:
______________________________ ______________________________ ______________________________
I give my child/ward
________ permission to participate in the above activity (soccer camp). I understand that the activity will be supervised and the Township and United Soccer, RTSA, Morris Knolls HS, does not insure own risk. It is understood that this program is a physical activity and various injuries may occur. I also understand it is my responsibility to make sure the restraint is physically capable of participating in this program and a physical exam by a doctor is recommended.
I verify that the above-stated address is the permanent residence of the above-named restraint and that all the information stated above is, to the best of my knowledge, true and correct. Any intentional falsifying of information will result in automatic expulsion of my child/ward from the program and possible prosecution. I agree to abide by all rules, regulations, and policies as set forth by the Department of Parks and Recreation, the Recreation Committee, and the specific Sports Program Committee.
__________________ (Parent/Guardian Signature)