i.A.T.L.A.S.

Athletics • Teamwork • Leadership • Academics • Success

SUMMER SOCCER ENRICHMENT PROGRAM

Merced California

Session 1: June12-28 Session 2: July 10-26

Thank you for your interest in attending our i.A.T.L.A.S. Summer Soccer Enrichment Camp for Girls and Boys! Merced Soccer Acadmey is a non-profit 501(c)3 in Merced, California offering year-round programming to help build the skills of youth and empowerment through soccer and academics.

i.A.T.L.A.S. Summer Soccer Enrichment Camp is a three week (two day a week) camp where youth receive instruction on soccer and academics, form new friends, and learn skill that can be used on their day-to-day life experience.The boys trying out for the San Joaquin Valley Academy (also known as the select team) will also have the opportunity to participate. This year select teams are boys in the following age groups: 2004, 2005, and 2006.

Any youth who will be age 6-18 (18 still in high school) at the time of camp may apply. No experience is necessary! We are also accepting volunteers; youth 15-17 who have enrolled in Merced Soccer Academy may apply to be volunteers.

APPLICATION PROCESS

Please read the following carefully. Summer Camp enrollment is on a first come, first served. If you prefer to apply online, you can find a link to our online application at

To apply by mail, please send us: the program application (including financial aid request form if applicable.

We will notify each applicant regarding enrollment status as soon as possible. If your camper's particular session or age group is full, we will attempt to place him/her in their second or third choice or on the waiting list for their first choice. Once your camper is enrolled, we will send you a confirmation email.

IMPORTANT: If you don’t hear from us within two weeks of submitting your application, it may be incomplete; please contact us to find out what is missing!

TUITION AND FINANCIAL AID

Summer Camp costs $100; this includes a tuition fee and free t-shirt

Limited financial aid is available. We try very hard to make Camp accessible to all boys and girls and not to turn a camper away due to financial need. Please ask for what you need and pay what you can. Scholarship requests may take longer than three weeks to process.

We work all year long to keep our costs low, offer more programming and provide financial aid through grants, fundraising, benefits, etc. As a nonprofit, any amount paid over the standard fees is considered a tax-deductible donation and greatly appreciated. Let us know if you need a tax receipt and we will send you one. Please consider sponsoring another camper or helping us provide more scholarships. Thank you!

[PLEASE KEEP THIS PAGE FOR YOUR RECORDS]

SUMMER CAMP PROGRAM SITE

i.A.T.L.A.S. Summer Soccer Enrichment Camp will take place at Merced Soccer Academy Parent/Youth Center (Stephen Leonard Park) and McNamara Park. Specific location for your child will be given.

CONTACT INFORMATION

ATTN: Daisy Ramirez

Mailing Address: 640 T Street, Merced, CA 95341

Website:

Email:

Phone: 209 355-8719

Summer Camp Cell: 209 724-0850

WHEN TO SHOW UP AND WHAT TO BRING

Camp starts at 8:00 am. Camp provides all the necessary equipment, as well as breakfast and lunch. Campers need towear comfortable clothingt-shirt (one will be provided) shorts, socks, shin guard and cleats; and a water bottle is highly recommended.

REFUNDS

There will be no refunds available after the first day of camp.

Checks should be made out to: Merced Soccer Academy

IMPORTANT INFORMATION FOR ALL SESSIONS

Applications available May 23, 2017 -- open until full. / First come, first served – apply as soon as possible for the best chance session choice.
Enrollment notification and return paperwork packet sent / one weeks after we receive your complete application.
Tuition must be paid in full / At time of enrollment/conformation

Thank you so much for your interest in i.A.T.L.A.S. Summer Soccer Enrichment Camp -- we look forward to a fun summer with you!!!

Any photos, recorded (audio or video) and written materials created for and/or during Summer Camp are property of Merced Soccer Academy and may be used for promotional purposes at the discretion of Merced Soccer Academy.

The policy and intent of the i.A.T.L.A.S. Summer Soccer Enrichment Camp is to provide equal opportunity for all persons regardless of race, color, religion, national origin, ancestry, marital status, political affiliation, affectional orientation, sex, status with regard to public assistance, disability, age, veteran status, and any other status protected under federal, state, or local laws. We promote respect and do not tolerate racism, sexism, homophobia, or other discriminatory behavior or expression.

i.A.T.L.A.S.

Athletics • Teamwork • Leadership • Academics • Success

SUMMER SOCCER ENRICHMENT PROGRAM

APPLICATION

1. CHOOSE A SESSION

• Circle the session you wish to attend. If your schedule is flexible, indicate your preferred session by placing a "1" by your first choice, "2" by your second, and "3" by your third.

____ Session 1: June12-28(8 am-12 pm) or (1pm-5pm); Mondays and Wednesday

____ Session 2: July 10-26(8 am-12 pm) or (1pm-5pm); Mondays and Wednesday

2. CAMPER AND PRIMARY CONTACT INFORMATION

Name of Student: ______Date of Birth: ______Age(at the time of Camp): ______

Name you prefer to be called (if different): ______Male or Female

Name of School: ______Grade: ______

T-Shirt Size (circle one): Youth: XS SM MED LG or Adult: SM MED LG XL XXL XXXL

Name of Parent/Guardian/Primary Contact: ______

Mailing Address: ______

City: ______State: ______Zip Code: ______

Home Phone: ______Cell Phone: ______Work Phone______

Email address you check frequently:______

Best way to contact you? (circle one) Home PhoneCell PhoneEmail

What is the race/ethnicity of you/your camper?* ______

*Knowing the demographic makeup of our campers/community can assist in grant writing, intentional outreach, and more -- please respond if you feel comfortable.

3.EMERGENCY CONTACTS (please provide two additional people, different from the parent/guardian listed above, who would automatically be the first person we contact)

Contact’s Name: ______Relationship: ______

Home Phone: _____ - ______- ______Work/Cell Phone: _____ -______- ______ext ______

4. SAFETY INFORMATION (please list all known conditions so we can accommodate your camper’s needs)

Does your camper have any medical conditions, allergies, or special needs the staff should know about?

Yes No

______

i.A.T.L.A.S.

Athletics • Teamwork • Leadership • Academics • Success

SUMMER SOCCER ENRICHMENT PROGRAM

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