Camp Application

MarinnaEmond Head Coach Seekonk Ma Scott 84 Road 02771 Shamrocks FieldHockey

Name:______

Address:______Shamrocks

Phone# :______

Field

Email:______Camp

DOB:______Grade in the fall: ____

Emergency contact:______

Emergency phone #: ______July 14-15 9 am—3 pm Health Insurance Co: ______Policy #: ______July 16th 12-3 pm Grades 4-9th Release Form and Policies

The above athlete has my permission to participate in Held at the Shamrock Girls Summer Camp. Staff of Bishop Feehan High School this camp is not responsible for any injuries. The staff of 70 Holcott Drive the camp may seek medical attention for my child if such attention is warranted and if the camper's guardian cannot be reached. BISHOP FEEHAN HIGH SCHOOL is not a sponsor of or legally responsible for the activities,coaches,or staff of the camp.

______

Parent/Guardian Name (please print) ______

Parent/Guardian Signature ______

Date:

Daily Schedule 9 am Arrival Summer Camp Info

Camp Objectives 9:15– 9:45 Strength & condition- Grades 4-9 ing 9– 3 pm July 14—July 16, 2017 Main objectives of this camp is to 3 Day Clinic: $ 150 (T-shirt Order included) focus on individual skill development, 9:45– 10:45 Stick Skills Circle one: team awareness, and strategy. 10:45– 12:00 Stations YM YL AS AM AL AXL

12:00– 12:45 Lunch Break Additional T-shirt: $ 15.00– size:

Total quantity with free camp shirt: 12:45– 2:00 Group Total enclosed: $ 2:00-3:00 Games Checks are payable to:

Marinna Emond Shamrock Camp

NO REFUNDS GIVEN AFTER CAMP BEGINS What to Bring:

-Field Please Complete both sides - of this registration form, detach and return with -Mouth Guard & Goggles payment to:

- Marinna Emond

Questions: -Water bottle Shamrocks Field Hockey Head Coach

84 Scott Road For more information, please contact -Bagged Lunch Seekonk, MA 02771 Marinna Emond at : -Sunscreen [email protected]

774-526-6171