2018 Youth Soccer Camp

Girls and Boys

Youth Soccer Camp

Mon., July 30th – Thur., Aug 2nd

Blackburn College Soccer Fields

700 College Ave., Carlinville, IL 62626




The Camp will be run by Head Women’s Soccer Coach Sohaila Akhavein with help from current Women’s and Men’s soccer players. The focus of the camp is to develop, enhance and increase the skills of each player regardless of level or playing ability. Our focus will be on individual skills while improving technical and tactical abilities. Finally, the Blackburn College Men’s and Women’s Soccer Programs will provide an atmosphere that is welcoming, engaging and FUN.


Schedule                                                             What to Bring          

9:00 AM- 11:00 AM      1st – 5th Grade $60.00                                    -Soccer ball    -Shin guards

1:00- 3:00 PM                 6th - 8th Grade $70.00                                    -Cleats (outside)    -Water

Registration starts 30 minutes before the first session                              -Tennis Shoes (inside for inclement weather)

REGISTRATION includes instruction, t-shirt and a soccer ball

If you have any questions, please feel free to contact Blackburn College Women’s Soccer Coach, Sohaila Akhavein at 920-527-1235 or at Sohaila.akhavein@blackburn.edu

Please return the bottom half of the form and make checks payable to Sohaila Akhavein, and send registration form and payment to Sohaila Akhavein Blackburn College 700 College Avenue, Carlinville, IL 62626




CAMPER #1 Camper’s Name _____________________________________________________

Camper’s Grade __________

T-Shirt Size: Please circle one        YS                YM                   YL                   AS                  AM                    AL

Address _____________________________________ City ________________________ State _______ Zip __________________

Parent’s Names ____________________________________

Parent’s Email ________________________________________________________

Phone __________________________________________________

Emergency Contact and Phone Number (If different) ______________________________________________________

School attended _________________________________________________________________

 Team you play for, if any_________________________________________________

Please list any allergies your child has _________________________________________________

It is specifically understood and agreed that Blackburn College Coaches shall not be responsible for any claim(s) or causes of action resulting from a participant’s injury while attending this soccer camp. Parents understand and agree that each participant will not be permitted to attend and participate in the  Blackburn College Camp until this document has been signed and returned to the local coordinator, therefore, each participant will participate in the soccer program at his/her own risk. I have read and understand the terms of this agreement and, by signing, do release Blackburn College Staff coaches from all liability resulting in the event of injury to my child.


Name ________________________________________________________ Date _____________________________