Mount Vernon Nazarene University: Athletics: Cougars

Men's Teams

Soccer

Roster

Women's Teams

MVNU Boys Soccer Academy

Please register one person per form.

Name:
Age:
Grade:
Date of Birth:	(MM/DD/YY)
Address 1:
Address 2:
City:
State:
Zip:
Home Phone:
Emergency Phone:
Email:
Preferred Roommate:	1. 2.
Position:	Goalkeeper Field Player

Liability Release Form I, the undersigned, hereby release Mount Vernon Nazarene University from all liability of injury arising from participation of or incident to the above-named child at the MVNU Boys Soccer Academy. I also authorize Mount Vernon Nazarene University personnel to seek and obtain medical aid for said youth if in their judgement such action is warranted, should the child sustain an injury while participating in a team-sponsored soccer activity. I further agree to subrogate them in any loss sustained by them personally out of my child's participation.
I agree to the above Liability Release Form.
First Name:
Last Name:
Date:

Cost:	$350 per resident participant $275 per commuter participant Fees Include All individual and group instruction, training, and mentoring Use of MVNU training and athletic facilities Room and board (Resident participants) Lunch and dinner, daily (Commuter participants) MVNU Boys Soccer Academy t-shirt Campers are responsible for lost keys ($50) and any room damage
Discounts:	Early Registration (before June 11) $10 off None Multiple from Same Household $10 off Multiple Camps $10 off Alumni Children $10 off Sibling of Current MVNU Student $10 off MVNU Faculty/Staff Children $50 off Team Discount $15 off
Total:	$
Pay by:	Credit Card Online Check Online Check by Mail





Questions?	Contact Andrew Belleman at (740) 397-9000, ext. 3104, or e-mail andrew.belleman@mvnu.edu.

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