Field Camp Director – Jennifer Hershman, Brewster High School Varsity Coach & Brewster Central School District Physical and Health Education Teacher Sponsored by the Town of Southeast Recreation Department

Director: Jennifer Hershman Participate in a Field Hockey Camp that is sure to be a ​ "hit" for beginners to more experienced players! Dates: August 19, 20, 21, 22 ​ Rain Date: August 23 On the field, appropriate drills will allow campers to ​ develop their stick skills including: dribbling, drives, Grades: Entering 2nd Grade through entering 5th Grade ​ passing, and shooting. With a focus on improving game Time: 8:00 am to 10:00 am ​ readiness, campers will join in fun challenges. Camp is a positive learning environment to try things, play various Grades: Entering 6th Grade through entering 9th Grade ​ positions, improve performance, make friends, and have Time: 10:00 am to 12:00 pm ​ a great time!

Location: BHS – Grass Field (inside the track) ​ Our program is thrilled to welcome back Varsity Coach and Lead Instructor, Coach Hershman. Her commitment Fee: $115 - Includes Shirt ​ to supporting good sportsmanship helps build champions and encourages strong self-esteem. Coach Hershman will Payable to: TOWN OF SOUTHEAST ​ inspire your camper's long-term commitment to this

popular sport! Brewster Field Hockey Website: http://blogs.brewsterschools.org/fieldhockey/ Campers will need to dress for outdoor play and bring: mouth guard, field , cleats, , goggles, shin guards, sunscreen, snacks & drinks.

------Please tear here and return with payment to the address below!------​ ​

ACTIVITIES REGISTRATION FORM PROGRAM:FIELD HOCKEY CAMP______​ ​ NAME:______MALE:______FEMALE:______SHIRT SIZE: (Youth or Adult) ______GRADE-FALL 2019:______SCHOOL:______ADDRESS:______CITY:______STATE:______ZIP:______CELL PHONE#:______WORK PHONE#:______HOME PHONE#:______E-MAIL ADDRESS:______EMERGENCY CONTACT: ______PHONE#:______FEE (non-refundable) Payable to: TOWN OF SOUTHEAST: Check#______Cash: ______

______has my permission to participate in the Southeast Recreation program. I assume all risks and hazards incidental to such participation including transportation to and from activities. I do hereby waive, release, absolve, indemnify and agree to hold harmless the sponsors and coaches for any claim arising out of an injury to my child. I also understand that it is my responsibility to notify the instructor of any MEDICAL/PHYSICAL condition that could limit my child's participation or that requires special attention.

PARENT/GUARDIAN SIGNATURE:______DATE: ______Mail to or drop off at: Town of Southeast Recreation Department 1 Main Street/ Brewster, New York 10509 Phone:(845) 279-3915 Fax:(845) 279-3137 Web:www.southeast-ny.gov ​ ​ ​ ​ ​ ​ ​ The Brewster Central School District neither sponsors nor endorses this event or organization. This information is distributed in line with the District’s policy to provide information regarding activities of general public interest which promote the education or other best interests of the students. Questions regarding this event or activity should be directed to the organization, not the District.