Coaches Clinic Application

Name:	_______________________________
E-mail:	_______________________________
Address:	__________________________________________________________________
City, St, Zip:	_________________________________________________
Home Phone:	_______________________________
School/Club:	_______________________________
	Head Coach Asst. Coach
Shirt Size:	Adult Med. Adult Lg. Adult X-Lg.
Confirmations will be sent via email unless checked here: Checks should be made payable to: GAME FACE MANAGEMENT, LLC
Payment Information Clinic Fee: $125 Before January 15, 2005 – $150 After January 15, 2005
Total Amount charged to credit card: _______________________________ Type: Visa MasterCard Check
Credit Card#:	_______________________________ Exp. Date:_____________

GAME FACE MANAGEMENT, LLC. | 14 Hawthorne Road, Wyomissing Hills, PA 19609

Big Kick Soccer

Big Kick Soccer was founded on one very simple principle - to teach the greatest sport in the world to as many youth soccer players as possible and hopefully, through our love and passion for the game, inspire youth players across the United States to achieve their dreams.

The success we've enjoyed over the years is also due to one very simple principle-from our staff at Big Kick Soccer Camps to the college programs we invite to play in communities throughout the Pennsylvania area- we work with the very best.

And it is the philosophy which has made BIG KICK and The Future of American Soccer the most exciting soccer organization available. Join us!

Contact

Tim Howard Camp

Big Kick Soccer

Soccer & Gaming