2023 ENCO Soccer Club/Dominate the 18 Pre-Season Technical Soccer Camp! August 7th to August 10th, 2023 (rain date Aug 11th)   Ages 8 to 13.
Please complete all sections of this registration form in it's entirely truthfully and accurately. Please enter FULL first and last names when entering a person. This form must be completed before the child's participation and must be completed by the parent or legal guardian (age 18 or older) of the participant. All responses on this form will remain confidential (unless for emergency purposes to authorized personnel), and are used for necessary registration requirements and/or in the event of any emergency.

There will be 4 sessions, each 90 minutes (1 hr, 30 min) x 4. The first hour will be technical training, with the last 30 minutes of each session will be play. Participants will be divided into two ages groups to maximize development.

Players will stay in their age group, and will be placed with players of similar age and ability for drills and competition.  Unless your player is in ODP, ENCL, or an Academy for an MLS Team (or similar circumstance), there is NO bumping up in age group.  The drills are very similar between age groups, and players who push and challenge themselves to have fun through competition and to be better will foster the maximum benefit. If needed, we will ask families to move up or down based on ability for day 2. 

Each participant will receive a FREE DOMINATE the 18 Soccer Training Tshirt!  

We will be adhering to all current and updated State, local, and CDC Guidelines for this camp as of August 2023.  If you do not wish for your child to follow these guidelines, we kindly ask that you do not sign up for this camp.

Please note that payment for this camp cannot be claimed through FSA or childcare for tax purposes. Thank you.   Location - ENCO Fields in Easton, PA.
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Cost is $155 per player. Cost is $140 for ENCO, Forks, Palmer, VTSA, or Nazareth Soccer Club Players.  Please use the electronic payment options in the middle of the webpage: https://www.dominatethe18goalkeepertraining.com/field-players/summer-technical-camp.  Options include Paypal, Venmo, Credit, or Debit. Make sure to select the proper option from the dropdown menu before selecting the payment method. Images of the payment button is below. 

If you have multiple children ($10 discount AFTER the first child), please email dominatethe18soccertraining@gmail.com.  The credit will be issued 5-7 days after payments and registrations for all children are received. 

Any issues, please email dominatethe18soccertraining@gmail.com. 
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Date of completion by Parent or Guardian *
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Name of Player (Participant) *
Age of Participant (by August 6th, 2023) *
Participant's T-shirt Size. FREE with Registration!  Your child will get the famous DOMINATE the 18 athletic shirt.   *
Name of Individual Completing this Form *
Relationship to Player (Participant) *
Date of birth (participant) *
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Gender of child *
Mailing address *
City, State, Zip *
Current Soccer Club *
Phone #1 (primary contact) *
Phone #2
Email: *
Emergency Contact *
Do you have medical coverage for your child? This question must be a YES in order for your child to participate. *
Medical Insurance Provider *
Policy Number *
MEDICAL NEEDS of player. If there are no medical needs, please answer NONE.  Make sure to state any and all allergies, recent injuries, if your child carries an epi pen (location of), etc.  Be specific and clear: *
Parents must sign below prior to child’s participation in the 2023 ENCO Soccer Club/Dominate the 18 Summer Technical Soccer Camp! If medical assistance is required for illness or injury while attending the camp, I give permission for such care and I certify I have medical insurance, and that the applicant is covered by our family medical insurance. Dominate the 18 Soccer, Bob Pipech, his associates,  Northampton County, Forks Township, ENCO Soccer Club, and any associated entities are all NOT responsible legally or financially in any manner, and will not provide any payment or have any responsibility for any medical, dental, hospital, transportation, or laboratory fees due to injury incurred while participating in the 2023 ENCO Soccer Club/Dominate the 18 Summer Technical Soccer Camp! I hereby release Dominate the 18 Soccer and staff of any and all liability from any type of injury as a result of this training.                                                                                                 -------------------------------------------------------------------------------------------------------------------------------For your electronic signature, please type your FULL NAME followed by YOUR First and Last Initials, then #                                                                                                                                                                                 --------------------------For example: Person is John Smith.                           Enter:  John Smith  JS# *
Date of payment sent/made. Please note that registration is not complete, and the spot cannot be reserved, until payment is made. If not done already, please go to the middle of the webpage: https://www.dominatethe18goalkeepertraining.com/field-players/summer-technical-camp to submit payment.  *
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Waiver form, please go to: https://www.waiverfile.com/b/PipechElitelSoccerTraining/Waiver.aspx?formid=9acb8d3e-e981-4872-b072-175f595d866a. After completing (keep this window open), please confirm below. *
Check for Parent or Guardian:  Please make sure you have completed all the following items:  *
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