Application

Registration requested by May 22. After May 22 (including on-site registration), fee increases to $95 and t-shirt is not guaranteed

Cost $85 per player

To enroll, fill in all required information on BOTH sides of this application and return with a check for the full amount. No refunds can be made after registration has been received.  Make checks payable to “Upper Arlington Girls Soccer” and write
the name of the camper(s) in the memo of the check.

Mail to: UAGS,  872 Hensel Woods Rd, Gahanna, Ohio 43230

Parent or Guardian must sign and initial as indicated on the form before registration is complete. You will receive a confirmation email.  Please complete one registration form per player.

Camper Name (Last, First) Address
CIty,State,Zip

Home Phone	 Emergency  Phone

Cell Phone #1	Cell Phone #2

19-20 Grade Level    	 Shirt Size (Youth L-Adult  XL)

Parent(s)/Guardian(s) Name (Last, First) Email Address  (Please print carefully ) Check Amount    Check Number

For more information call or email Coach Chris
Merrick at:

cmerr38@hotmail.com or  (614)-562-6266

Location- Tremont FIeld in Upper Arlington right behind the Senior Center.

Insurance & Waiver Form

Please Print Participant’s Name (Last, First) Please Print Guardian’s Name (Last, First)
Emergency Medical Treatment Authorization

I (we) being the legal guardian(s) of the participant, authorize the UAGS Camp, its staff, directors, or agents to request medical treatment as may be deemed reasonable by the UAGS Camp to insure the well being of the Participant. I (we) have attached a written statement detailing all physical limitations, medications, allergies and/or medical conditions that be required and helpful in providing medical attention for the Participant.

 	The Participant has had a satisfactory physical within the last year (initial).

 	The Participant has permission to participate in the
UAGS Camp (initial).

Signature of Guardian(s)_ 	 Waiver and Release
I (we) the undersigned, for ourselves, our heirs, executors, and
administrators; waive, release, hold, harmless, indemnify, and forever discharge the UAGS, its staff, directors, agents, representatives, employees, successors, and assigns from, any and all liability, claims, judgments, demands or damages arising out or in connections with bodily injuries, sustained by the participating during her participation in the UAGS Camp regardless of the nature or cause of such injuries. By signing below, I (we) certify that the Participant is physically fit and capable of playing lacrosse; and, that I (we) have full and absolute authority to grant permission on behalf of the
Participant.  I (we) also understand that the UAGS Camp is not
a function of the Upper Arlington City Schools. Signature of Guardian

For more information call or email Coach Chris Merrick cmerr38@hotmail.com or (614)-562-6266

Soccer Camp for Girls
Entering 6th to 8th Grades

Camp Dates

June 10-13th, 2019

1130 am -130 pm

Tremont Field (Behind the Senior Center) www.uagirlssoccer.com

Follow us on Twitter
@UAGS2019

This activity is not sponsored by the
Upper Arlington School District.

Girls Soccer Program at UAHS

The Girls Soccer program at
UAHS has had great success in
recent years. The Golden Bears won a District Championship in 2015, and have had 4 10-plus win seasons.

This success has come from the hard work of the student athletes, wonderful and supportive parents, and a great staff that teaches the love of the game and the enjoyment of
playing high school soccer.

In the past five years, the girls soccer team has come from being a .
500 level team, to one of the top teams in the Central District.

This success is a direct result of the hard work of the student athletes. By exhibiting a high work- rate, tremendous team work, and proving to be highly coachable, the girls have raised the level of expectations at UAHS.

To continue this success, we would like to get our program moving ever forward by introducing our coaching concepts and style to the student athletes that make up the future of our program.

About the Camp

UAGS Soccer Camp is a 4 day camp for
girls entering 6th-8th grade in the 2019-2020 school year, that will introduce players to the UA High School program.

Players will learn and participate in training sessions that mimic the trainings of the high school team.

Players will be introduced to higher level thinking on the field, and experience the style of play and coaching at the high school level.

A great staff comprised of highly qualified coaches will show players how to be successful at the high school level.

STAFF

Chris Merrick - Girls Varsity Head Coach at Upper Arlington High School

Willy Merrick - Head Mens Coach at Ohio Dominican University

Dave Merrick - Girls Elite Director for Sporting Columbus Soccer Club

Current Players From the UAGS
team

UAGS  2019 

Chris Merrick

872 Hensel Woods Rd

Gahanna, Ohio 43230

Ph.  (614)-562-6266

Email- cmerr38@hotmail.com