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Leadership Through Sharing Elite Team Development Program Application

Next Training Regime - July 22 to August 5, 2007  CLICK HERE

Cosponsored by Soccer For Life Inc and MOTILES, S.A.

Bring Your Laptop For A LAN PARTY

Youth Soccer Leaders Links

How To Apply

Simply fill out this application, print this page, and

email it to Dr. Carol Cross, sfl@hmradvencen.com 011-504-783-2293 .  Please complete the entire form including Medical Release.  Call 001-504-783-0199 for more information.

Training Dates

Send money to Dr. Carol Cross by Western Union to La Esperanza, Honduras.  Please set up a confirmation number and send it to us so we can collect the funds.

Soccer Camp Program Experiences

Includes soccer training, tournament, home-stay, in country travel.  We will pick you up at the airport in San Pedro Sula. 

Cost and Registration

Cost: The two week program has a low low price of US$1400 for all in-country activities.   Full payment is required by 2 months in advance in order to secure home-stays, reserve National Parks, other cultural site accommodations and airfare.   

Honduran Government Fees

There is no charge for entry visa by US citizens.  The $30 airport/departure fee is required to be paid when you leave the country.

Includes: Pickup at the airport, and incountry travel.   Classes, text books, all aspects of the tournament, weekly excursions and two nightly fieldtrips, week-end excursion, room and board (breakfast & dinner) with a Honduran family, lunch, and transportation to and from the airport.

Registration: Please fill out the form below and have in our office in Honduras with full payment two months before camp beings. To enroll in this camp, please mail the attached application and a $300 non-refundable deposit to the address listed (please note that post may take up to 3 weeks to arrive to Honduras from North America). You may pre-register by fax or e-mail to sfl@hmradvencen.com but your deposit must be received to secure your place.

Airport Pickup - We will pick all athletes coming into Honduras at the airport on either Saturday before camp begins.  We will be holding a sign that say Soccer for Life.  You will  then be driven to La Esperanza where the first night will be spent at the Hotel Molino Real. You will meet your homestays the next morning. Soccer athletes who do not arrive on either of these days will incur a $90 airport pick up fee.

Final Check Out

Because of the number of players involved in tournaments, check-out is 12:00 (noon) on Saturday (after the award ceremony.)  The schedule for Saturday includes final tournament games (9:00-11:00 AM) and the closing awards ceremony from 11:30-12:00 PM.  Parents are encouraged to attend the final games & awards ceremony.  Breakfast is the last meal served on Saturday.

Spending Money - You may want to bring some spending money ($300 suggested)  for snacks, pizza, video games or other recreational activities.  There is a wonderful handicraft village in Siguatepeque.  And your soccer athlete will want to bring home handicrafts and other gift items.

Living Arrangements - All players will be in home-stays or the Hotel Molino Real. The Hotel Molino Real is owned by the Argueta Bourdett Family and Dr. Cross is consultant for this hotel.  Dr. Argueta is the designated doctor for the camp. Therefore your soccer athlete will be safe here.  

The camp registration fees given includes home-stays.  If you want to stay at the Hotel Molino Real, there will be an additional charge.  Please let me know if you want to stay there.  The SoccerNSpanish soccer camp is not responsible for lost or stolen articles.

NOTICE: All parts of this  Application Form must be completed in order for participant to be eligible for camp activities.

Simply fill out this application, print this page, and email it to Dr. Carol Cross at sfl@hmradvencen.com Please complete the entire form including Medical Release.  Call 011-504-783-0199 for more information. Send deposit of $300 with application to hold place for your child.  Total Fee is US$1400, which must be paid in full two months before coming to Honduras. Payment after that time  will incur a $150 late fee.

Application for 2008 Soccer Youth Leadership Camp In Honduran Mountains

In Honduras contact:

Dr. Ramon Dario Argueta

AIC

Barrio El Morera, Frente Bazar Reyna

La Esperanza, Intibuca, Honduras

Telephone 504-783-0054

APPLICATION/MEDICAL EMERGENCY RELEASE FORM

I give my consent and approval for my child ____________________________ to participate in the Soccer For Life  programs in Honduras. I certify that he is physically fit to take part in the activities of the program.. I have adequate medical insurance for medical expenses that may result from any injury sustained while he is participating in the camp activities. I agree not to hold Dr. Cross or the Academia Intibucana de Comunicacion or any individual from the camp staff members responsible for such expenses.

Permission is granted to Dr. Carol Cross on behalf of my child

 _________________________________________

(Print Name Of Person To Be Photographed Or Filmed)

to use either still photographs, video or voice on video, print,  webpage, or audio tape for educational, informational and advertising/promotional purposes as said company as its nominee deemed fit.

I hereby release said company and its nominee from any payment and or/compensation and all liability in connection with said uses and purposes.

Signature of Parent: __________________________________________ Date__________

I authorize emergency medical treatment for my child in the event he needs such treatment and I am unavailable to give consent.

Signed: ________________________________Date: _________________

Emergency phone numbers: Home: ________________________

Work: ________________________

______No ______Yes Allergic Reactions (drugs, food, asthma…)____________

Name: _______________________________Grade in Spring, 2008: ________

Address: ____________________________________________

City, State, ZIP: _____________________________________

_No ______Yes Taking any medication at this time __________________Sex:

I/We, the undersigned hereby certify that I (we) am (are) the parent or legal guardian of the camper. I hereby give permission for the staff of the camp to seek during the period of the camp appropriate medical attention for the camper and for medical attention to be given and for the camper to receive medical attention in the event of accident, injury, or illness. I (we) will be responsible for any and all costs of medical attention and treatment, except for that covered by the camp’s excess medical coverage policy.

I/We, the undersigned, for ourselves and as the guardian’s of ______________________ understand that soccer is an active, physical sport, and that injuries can take place during play. I/We also understand that there will be a number of children attending the camp, there will be a limited number of coaches and/or counselors, and that our child can not receive individualized attention and supervision all of the time. I/We understand that, as with any sport, injuries can occur, and we hereby acknowledge that our child is physically fit and mentally capable of participating in soccer activities.

Signature of Parent or Guardian ___________________________________
 

Date _____________
 

Complete this form and return  by email.  Send funds through Western Union to Dr. Carol Cross, La Esperanza, Intibuca, Honduras

Telephone Dr. Carol Cross at Email:  sfl@hmradvencen.com

Entry Fee is $1400 send by Western Union to Dr. Carol Cross, La Esperanza, Honduras.

I/We, represent that I/we have sought the opinion of our child’s pediatrician,

_________________________________, and he concurs that,

Name of Camper’s Physician

_______________________________

Camper’s Name

is fully capable of safely engaging in these activities. I/We also understand that it is my/our responsibility in caring for the camper listed above, and to be assured that he/she is fully capable of engaging in this sport’s activity, and I/we are confident that he/she is able to engage in such a sport.

I/We, the undersigned for ourselves, our heirs, executors and administrators, waive, release and forever discharge the Academia Intibucana de Comunicacion and its staff, officers, agents, employees, representatives, successors, and assign of and from all rights and claims for damages, injury, or loss to person or property which may be sustained or occur during participation in camp activities or while at camp, whether or not damages, injury, or loss is due to negligence.
 

Contact Person:  Dr. Carol Cross

011-504-783-0199

sfl@hmradvencen.com