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Description Meet the Coaches Registration Description Meet the Coaches Registration Our staff is comprised of current & former Division I Where it all began: □ field hockey only □ lacrosse only athletes and standout area high school players. We After competing against each other for four years in high □ field hockey & lacrosse encourage campers to practice the right way every school, Baer (PW) & Stewart (Springfield) went on to time and provide the special attention that is almost become co-captains of Georgetown University’s lacrosse Name:___________________________ impossible to receive during regular in-season team. Both helped lead the team to its first ever NCAA Grade entering in fall of 2011: __________ practices. tournament appearance in 1997 and to a finish in the We believe in. Elite Eight in 2000. They developed Rising Stars to give School name:______________________ back to the communities that helped shape them and to Perfecting the basics teach, train and inspire the next generation of local field Circle T-Shirt Size: YS YM YL S M L Having fun while working hard hockey & lacrosse RISING STARS. # years playing hockey: _____ lax: ______ Building character & self-esteem through sports MEDICAL CONCERNS: ________________________________ ________________________________ Kristen Baer Nicholas ADDRESS: Three-sport standout at Plymouth Whitemarsh: captain Street:___________________________ of field hockey, swimming & lacrosse teams, named Female Athlete of the Year at PW & earned All American City: ________________Zip:_________ Daily Routine: honors in lacrosse. Two time co-captain & All American Warm up & agilities for Georgetown Lacrosse. Assistant lacrosse coach at Phone # _________________________ Individual stick skills Boston University 2001-2003 & helped lead the team to Email : __________________________ its first NCAA tournament appearance. Offense & defensive concepts Can we connect with you on Facebook to Small games & competitions post camp updates & pictures? □ Yes □ No Fun Day Friday: Find me under: ____________________ Fun circuits & team competitions EMERGENCY CONTACT: Camper / Counselor All Star Game Susan Stewart Brown Name: __________________________ Awards ceremony for campers and parents Academic All American & co-captain for field hockey What to Bring: and lacrosse teams at Georgetown. Teacher, Head field Phone # _________________________ hockey & lacrosse coach and Camp Director at Council Hockey and / or lacrosse stick Rock North High school 2001-2007. Led both teams to How did you hear about us? their best overall school records & named Courier Times Shin guards for hockey / goggles for lacrosse ________________________________ Mouth guard, sneakers or turf shoes (no cleats) Coach of the Year for both sports. Current trainer at Balance Personal Training in Chestnut Hill. Water bottle, sun block & lunch (if staying) Waiver I hereby certify that my child is in good physical health and may participate in all camp activities. I will not hold the Rising Stars field hockey & lacrosse camp or Rising Stars camp personnel responsible in the event of an accident Field Hockey & Lacrosse Camp or injury as a result of participation. I also give at Plymouth Whitemarsh High School’s Turf permission for my child to be given emergency treat- ment at the local hospital. Rising Stars field hockey & lacrosse camp does not provide individuals with 15% discount on gear pack at medical insurance. Each camper must provide her own Wave One: medical insurance plan. Rising Stars is not responsible for paying the deductible medical or hospital costs for Hockey stick, shin guards, and ball any camper. Lacrosse stick, goggles, and ball __________________________________ ——————— Parent signature Date To ensure availability, offer is valid for __________________________________ Rising Stars campers through the end of Insurance Provider Number May. Bring coupon with you to store. th nd Early Bird Pricing: 1992 Butler Pike, Conshohocken July 18 – 22 th Postmarked before May 15 Field hockey 8:30 — 11:30 1 sport only: $200 Both sports: $300 Lacrosse 12:00 — 3:00 Regular Pricing: Come for one sport or stay for both Postmarked after May 15th th th 1 sport only: $250 Both sports: $350 For incoming 4 — 9 graders For questions, please Make check payable to contact Susan Brown at Susan Brown [email protected] Great teams are made 267-625-6334 in season; great players are made in REFUNDS: the summer! Mail check, registration form & waiver to Full refunds will be made for cancellations Susan Brown received in writing postmarked 21 days before 6027 Cannon Hill Rd. camp begins. After this deadline, a $75.00 www.risingstarsfieldhockeylaxcamp.com Fort Washington, PA 19034 non-refundable fee will be deducted. .
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