La Grange Celtics Summer Soccer Camp in association with
Manchester United’s Tom Statham at Veeck Park
June 19 – June 22, 2017
Celtics Summer Soccer camps are open to Celtics and non-Celtics players, girls and boys.
Tom’s background: Tom Statham is a professional soccer coach in England. He and Celtics Club President David Rout have been running soccer camps together for many years. Tom is one the most senior Youth Team coaches at Manchester United and has coached many professional players, some of whom have gone on to play for Manchester United’s 1st Team. Current well-known 1st team English Premier League players that Tom has coached include Lingard & Rashford (Man Utd), Welbeck (Arsenal), Evans (WBA), Drinkwater & Simpson (Leicester City), Heaton & Keane (Burnley) and Cleverley (Everton). In addition, Tom is Head Coach at one of England’s top private schools and also organizes the Celtics’ annual spring break trip to England. Prior to coaching, Tom signed as a professional player for Middlesborough after finishing his teaching degree.
La Grange Celtics Summer Soccer Camp (Two-hour sessions Monday through Thursday mornings, Friday held for rain out)
- Times:8:00 am - 10:00 am Grades 2nd-4th
10:00 am -12:00 pm Grades 5th & 6th
Noon - 2:00 pm Grades 7th, 8th & 9th
- Please note that grades are determined by academic year 2017/18.
- $160 per player (2ndgrades through HS) and discounted to $140 per player for families with multiple participants.
Celtics Juniors Summer Camp (Two-hour sessions Monday through Thursday mornings, Friday held for rain out)
- U5-U7 players attend camp from 8:00 - 10:00 am
- Celtics Juniors Camp will be run by Andrew Taylor and Chris Koenig
- $140 per player ($125 per player for families with multiple participants).
Special High-Level Competitive Camp for HS players (9th-12th Grades) at LT North Soccer Fields
- 90 minute sessions Monday - Thursday 5:00pm-6:30pm. (Friday held for rainouts).
- $120 per player
Pleasecomplete the camp registration form and waiver and send with your check to 110 S. Park,
La Grange, IL 60525. Alternatively you can register and pay by credit card on our website at
If you have any questions please contact David Rout at 773-499-9261 or .
SUMMER SOCCER CAMP… June 19 - June 22,2017
Cost:$160 per player ($140 per player for families with multiple participants).
Checks made payable to Celtics
Pleasecomplete the waiver below andsend with your check to 110 S. Park, La Grange, IL60525.
Alternatively you can register and pay by credit card on our website at
REGISTRATION WAIVER AND RELEASE OF ALL CLAIMS
PLEASE READ THIS FORM CAREFULLY. BY SIGNING IT FOR YOUR MINOR/CHILD, YOU WILL BE RELEASING ALL CLAIMS FOR INJURIES THAT MIGHT BE SUSTAINED IN CONNECTION WITH THIS ACTIVITY.
Date of Soccer Camp:June 19th-June 22ndLocation:Veeck Park 701 E Chicago Ave, Hinsdale
Times:8:00 - 10:00am Grades 2nd-4th10:00am –Noon Grades 5th & 6th Noon - 2 pmGrades 7th, 8th & 9th
Participant’s Name: ______Date of Birth:______
Circle Grade (2017/18):2nd3rd4th5th6th7th8th9th
Home Phone: ______Cell Phone of a Parent: ______
Street Address: ______City: ______
State and Zip: ______Emergency contact Number(s):______
Email: ______
This release is executed on:______2017, by______
Parent or Legal Guardian (please print & sign)
To The Celtics Sports Foundation, LG Celtics, The LaGrange Celtics Sports Foundation, Statham Soccer Limited, The Village of La Grange, The Village of Hinsdale and The City of Countryside, IL.I being of lawful age, in consideration for my child being permitted to participate in this activity, do for them, myself, heirs, executors, administrators and assigns, hereby release and forever discharge The Celtics Sports Foundation, The LaGrange Celtics Sports Foundation, Statham Soccer Limited, The City of Countryside, The Village of La Grange, The Village of Hinsdale its trustees, officers, agents, employees, servants and officials of and from any and every claim, demand, action, or right of action of whatever kind of nature, either in law or in equity raising from or by reason of any bodily injury or personal injury known or unknown, death or property damage resulting or to result from any accident which may occur as a result of participation in this activity or any activities in connection with this activity whether by negligence or not.I further release the Celtics Sports Foundation, LaGrange Celtics Sports Foundation, LG Celtics, Statham Soccer Limited, The City of Countryside, The Village of La Grange, The Village of Hinsdale and its trustees, employees, and agents from any claim whatsoever on account of first aid treatment or service rendered my child during participation in this activity. The release contains the entire agreement between parties hereto and the terms of this release are contractual and not a mere recital.I have carefully read the foregoing release and know the contents thereof and sign this release as my own free act. In witness whereof, I have executed this release the date and year first above written.
For: ______
(Participant’s Name) (Parent’s Signature)
HIGH LEVEL COMPETITIVE HS SUMMER SOCCER CAMP
June 19 - June 22,2017
Cost:$120 per player (Checks made payable to Celtics)
Pleasecomplete the waiver below andsend with your check to 110 S. Park, La Grange, IL60525. Alternatively you can register and pay by credit card on our website at
REGISTRATION WAIVER AND RELEASE OF ALL CLAIMS
PLEASE READ THIS FORM CAREFULLY. BY SIGNING IT FOR YOUR MINOR/CHILD, YOU WILL BE RELEASING ALL CLAIMS FOR INJURIES THAT MIGHT BE SUSTAINED IN CONNECTION WITH THIS ACTIVITY.
Date of Soccer Camp:June 19th-June 22ndLocation: LT North Soccer Fields
Time: 5:00pm-6:30pm
Participant’s Name: ______Date of Birth:______
Circle Grade (2017/18):9th10th`11th12th
Home Phone: ______Cell Phone of a Parent: ______
Street Address: ______City: ______
State and Zip: ______Emergency contact Number(s):______
Email: ______
This release is executed on:______2017, by______
Parent or Legal Guardian (please print & sign)
To The Celtics Sports Foundation, LG Celtics, The LaGrange Celtics Sports Foundation, Statham Soccer Limited, The Village of La Grange, The Village of Hinsdale and The City of Countryside, IL.I being of lawful age, in consideration for my child being permitted to participate in this activity, do for them, myself, heirs, executors, administrators and assigns, hereby release and forever discharge The Celtics Sports Foundation, The LaGrange Celtics Sports Foundation, Statham Soccer Limited, The City of Countryside, The Village of La Grange, The Village of Hinsdale its trustees, officers, agents, employees, servants and officials of and from any and every claim, demand, action, or right of action of whatever kind of nature, either in law or in equity raising from or by reason of any bodily injury or personal injury known or unknown, death or property damage resulting or to result from any accident which may occur as a result of participation in this activity or any activities in connection with this activity whether by negligence or not.I further release the Celtics Sports Foundation, LaGrange Celtics Sports Foundation, LG Celtics, Statham Soccer Limited, The City of Countryside, The Village of La Grange, The Village of Hinsdale and its trustees, employees, and agents from any claim whatsoever on account of first aid treatment or service rendered my child during participation in this activity. The release contains the entire agreement between parties hereto and the terms of this release are contractual and not a mere recital.I have carefully read the foregoing release and know the contents thereof and sign this release as my own free act. In witness whereof, I have executed this release the date and year first above written.
For: ______
(Participant’s Name) (Parent’s Signature)
JUNIORS (U5-U8) SUMMER SOCCER CAMP
with Andrew Taylor and Chris Koenig
June 19- June 22, 2017
Cost:$140 per player ($125 per player for families with multiple participants).
Checks made payable to Celtics. Pleasecomplete the waiver below and send your check to110 S. Park, La Grange, IL 60525. Alternatively you can register and pay by credit card on our website at
If you have any questions please contact David Rout at 773-499-9261 or .
REGISTRATION WAIVER AND RELEASE OF ALL CLAIMS
PLEASE READ THIS FORM CAREFULLY. BY SIGNING IT FOR YOUR MINOR/CHILD, YOU WILL BE RELEASING ALL CLAIMS FOR INJURIES THAT MIGHT BE SUSTAINED IN CONNECTION WITH THIS ACTIVITY.
Date of Soccer Camp:June 19th-June 22ndLocation:Veeck Park 701 E Chicago Ave, Hinsdale
Time: 8:00am-10:00am
Participant’s Name: ______Date of Birth: ______
Circle Grade (2017/18):Pre-KK1st2nd
Home Phone: ______Cell Phone of a Parent: ______
Street Address: ______City: ______
State and Zip: ______Emergency Contact Number(s):______
Email: ______
This release is executed on:______2017, by______
[Parent or Legal Guardian (please print & sign)]
To The Celtics Sports Foundation, LaGrange Celtics Sports Foundation, LG Celtics, Village of La Grange, Village of Hinsdale and The City of Countryside, IL.
I being of lawful age, in consideration for my child being permitted to participate in this activity, do for them, myself, heirs, executors, administrators and assigns, hereby release and forever discharge The Celtics Sports Foundation, LaGrange Celtics Sports Foundation, LG Celtics, The City of Countryside, The Village of La Grange, The Village of Hinsdale its trustees, officers, agents, employees, servants and officials of and from any and every claim, demand, action, or right of action of whatever kind of nature, either in law or in equity raising from or by reason of any bodily injury or personal injury known or unknown, death or property damage resulting or to result from any accident which may occur as a result of participation in this activity or any activities in connection with this activity whether by negligence or not. I further release the Celtics Sports Foundation, LaGrange Celtics Sports Foundation, LG Celtics, The City of Countryside, The Village of La Grange, The Village of Hinsdale and its trustees, employees, and agents from any claim whatsoever on account of first aid treatment or service rendered my child during participation in this activity. The release contains the entire agreement between parties hereto and the terms of this release are contractual and not a mere recital. I have carefully read the foregoing release and know the contents thereof and sign this release as my own free act. In witness whereof, I have executed this release the date and year first above written.
For: ______(Participant’s Name) (Parent’s Signature)