Perusa Soccer Camp

Soccer for Children and Adults
    2008 Summer Camp Registration Form
    To register, please follow these directions:
    1.)
    Complete the Registration form below and submit electronically via the "Send Registration" button.
    2.)
    Download and complete this Registration form.
    3.)
    Complete the Southwest Indoor Soccer Waiver.

    4.)

    Mail your payment and Forms to:
    Perusa Soccer Camp
    P.O. Box 2703
    Stafford, TX 77497-2703
    Please make checks payable to "Perusa Soccer".
    Payment is due in full one week prior to the beginning of your camp session.
       
Player's name
Age
Sex Male
Female
Street address
City
State
Zip code
Phone number #1
Phone Number #2
Parent/Guardian Name
Parent E-mail address
Persons Authorized to Pick Up Camper (Names & Phone #'s)
Emergency Contact
(Name & Phone #)
T-Shirt Size
 
Choose Summer Camp:
 
 
By submitting this registration form, you are agreeing that you release Perusa Soccer Camp and all its agents of any liability for injury or accident that may occur at the camp. You also give consent for your child’s photograph to be taken during camp and to be used in future camp publications or on the camp website for publicity and advertisement purposes only.
 
 
No refunds will be given if cancellation is less than one week prior to the start of the camp session for which you are registered. In the event of illness, refunds will be given if presented with a doctor’s note. If camp is rained out more than two days, camper can either come to another week of camp at no charge or those days fees will be reimbursed.  Rainout number is 832-687-5707.

Camp Director

Camp Director Juan Zapata came to the U. S. from Peru in 2000, where he spent 15 years playing professional soccer in the Asociacion Deportiva De Futbol Profesional. Since being in the United States, he has been coaching youth and adult soccer at several different levels. Juan holds the USSF "A" license, the USSF "Youth National" license, the KNVB "Advanced Coaching" certificate, the KNVB “International Coaching” certificate and was an inaugural member for the USSF "Fitness Level 1" license in April 2006. In August, 2008, Juan will travel to England to take the UEFA “B” licensing course with the English FA.

Coaching Successes:
2008: Five Perusa trained athletes chosen for Olympic Development Program (ODP)
2007: Six Perusa trained athletes chosen for Houston Dynamo Academy
2007: Three PERUSA trained athletes chosen for ODP team.
2006: Endorsed by the United States Soccer Federation for "Fitness for Soccer".
2005: Led U-12 boys to an all time goal scoring record.
2004: Coached team that became State Regional contenders.
2003: Coached team that became State Championship contenders.


 
webdesign:jeffdweb
 
© Perusa 2006