Youth Field Hockey Skills Camp Building Better, Stronger Eagles
Camp Fee $30 per participant Youth Field Hockey Skills Camp Please check your shirt size Youth XS Adult S M L XL 2XL 3XL Program Contact Name: Coach Lori Knights Email: fskcoachlori@gmail.com Phone #: 410-259-7941 Building Better, Stronger Eagles. Make Checks Payable to: West Carroll Rec Council Mail waiver form with check to Coach Lori Knights 42 W Baltimore St Taneytown, MD 21787 Lori Knights 42 W. Baltimore St. Taneytown, MD 21787 Sponsored by the West Carroll Rec Council. WCRC is a volunteer recreation council, sponsored by the Carroll County Recreation and Parks program and was established to meet the recreational needs of the county's citizens by providing a variety of affordable sports programs and recreational services. May 26th-29th, 2015 6:00 – 8:00 p.m. Francis Scott Key High School Grades K- 8 New to the Field Hockey sport (0-2 years of experience) Parent-Guardian Waiver/Authorization Players Name: Age: Next Year’s Grade: Address: Email: Home Phone: Emergency Phone: Special Needs (medications etc…): Please sign waiver/authorization I/We approve of my child’s participation in any and all activities of this program. I/We assume all risks and hazards incidental to the conduct of the activities, understanding that all children will be expected to be insured against injury through the school they attend and/or the parent’s place of employment and/or the parent individually. I/We wavier all claims against the WCRC, Town of Union Bridge, Town of New Windsor, Department of Recreation, Parks & Facilities, its organizers, supervisors, managers, coaches or any person affiliated with the program for injuries that may occur while watching, playing or traveling to and from games. I/We acknowledge and understand that my child will be subject to school and/or WCRC rules of conduct. I/We understand that a $25.00 fee will be charged for any checks returned for NON-SUFFICIENT FUNDS. I/We understand that there will be NO REFUND of registration fees except for medical reasons or lack of participants in forming a team. I/We agree to our Code of Conduct, which is posted on our website http://ccgovernment.carr.org/ccg/recpark/forms/c-conduct.pdf and is available through our Program Coordinators or Coaches. Authorization for Use of Photographic Likeness: I agree to allow Carroll County Recreation and Parks to take and utilize photographic images of the registered individual's for the purpose of promotion and publicizing of the Department programs and/or events. If I prefer to not allow the above registered participant/s to be photographed, l will call 410-386-2103 to register my request. I/WE acknowledge that the above items have been read and understood. Parent/Guardian Signature Date What to Expect Camp shirt Drills, fun activities and games Focus on fundamentals of the field hockey sport and skills needed to play Items to Bring To Camp Sneakers (bad weather) Cleats Shin guards Mouth guards Drinks/Snacks: water is provided Coaches FSK Varsity/ JV Coaches Current FSK Athletes Rebels Field Hockey Club Players
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