Dave Cohen Pm, Margiotta Hall, 2Nd Floor
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A non-refundable deposit of $100 is due with the application. Check In / Check Out 2009 Open registration Thursday, June 25th from 5-9 Dave Cohen pm, Margiotta Hall, 2nd Floor. Registration / Check In Saturday, June 28 from 12:30 - 1:30 p.m. Youth Football Camp Cost: 9 Day campers $385 Check out after bowl game on Wednesday. 9 Over night camper $585 at Mail registration form, along with your payment Hofstra University payable to PRIDE FOOTBALL CAMP INC. to: Itinerary Pride Football Camp 86 Harvest Lane, Commack, NY 11725 Saturday T-shirt size: 9 Youth Med 9 Youth Lg 9 Adult Sm 9 Med 9 Lg 9 XL 12:30 - 1:30 pm Registration/Check In 1:30 - 3:00 pm Field Session Name: ____________________________________ 3:00 - 3:30 pm Classroom session 3:30 - 5:00 pm Field Session Youth League: ______________________________ 5:15 pm Day camper pick up 5:15 - 6:00 pm Evening camper dinner Date of Birth: __________ Grade (next fall): ______ 6:00 - 8:00 pm Evening camper activity Saturday, June 27 to Age as of June 28, 2008: ______________________ Sunday, Monday & Tuesday Wednesday, July 1 Address: ___________________________________ 9:00 am Day Camper drop off 9:30 - 11:30 pm Field Session City ______________________________________ 11:45 - 12:30 pm Lunch Sleep Over or Day Camp 12:45 - 3:45 pm Field Session State __________ Zip __________ 4:00 -5:00 pm Classroom session 5:00 pm Day camper pick up For ages up to 14 Home Phone: _______________________________ 5:15 - 6:00 pm Evening camper dinner 6:00 - 8:00 pm Evening camper activity Emergency Phone: ___________________________ Wednesday For more information please call Parent’s Name: _____________________________ 9:00 am Day Camper drop off 516-463-6653 or email Email:_____________________________________ 9:30 - 11:45 pm Field Session [email protected] 12:00 - 1:00 pm Lunch Height __________ Weight: ____________ 1:00 - 4:00 pm Bowl Games Application available on our website: I hereby make application for my son __________________to attend the Pride Youth Equipment www.hofstra.edu/athletics Camp at Hofstra University. I pledge for his (link to summer camps) compliance will all camp rules. I have enclosed Each camper must provide his/her own equipment. a non-refundable $100 deposit for the five day A non-refundable deposit of $100 is due with the This includes helmet, shoulder pads, mouthpiece, application by June 1, 2009. period. jersey, pads, football shoes and supporter. _____________________________________ Signature of Parent/Guardian) It is necessary that our doctor has parents’ Camp Philosophy Camp Staff permission to administer treatment in the event of an accident or sudden illness. To teach the fundamentals on an individualized Dave Cohen, Head Football Coach at basis. The coach to player ratio will be 10:1. Camper: ____________________________ Hofstra University. Has twenty years of Date of last tetanus immunization: ___________ Division I football coaching experience. National Defensive Coach of the Year in Camp Goals List any conditions that our physician should be 2003 and was one of the finalists for the 2007 Eddie Robinson Award as the aware of: ______________________________ Quarterbacks national coach of the year. Emphasis on fundamentals: stance, ______________________________________ exchange, footwork, ball work, 3 step drop, Hofstra University Football staff 5 step drop, rollouts and passing drills. Emergency contacts: combine for over 100 years of coaching experience. Receiver & Running Backs 1) _____________________Phone __________ Emphasis on fundamentals: stance, start, ball Select NFL players such as: drills, patterns, blocking. 2) _____________________Phone __________ I hereby authorize any medical treatment, Marques Colston, New Orleans Saints Offensive Line which may be advised or recommended by Devale Ellis, Detroit Lions Fundamentals and technique work in all the attending physician, to ______________ Willie Colon, Pittsburgh Steelers facets of offensive line play. Emphasis on while attending the Pride Football Camp Stephen Bowen, Dallas Cowboys balance, proper stance and explosive starts. Inc. Kyle Arrington, Tampa Bay Bucs Brad Smith, New York Jets Defensive Line & Linebackers Insurance coverage for accidental injury is Mike Adams, Cleveland Browns Emphasis on balance, stance and explosive required by all participants. In most Glen Foley, former NY Jets QB starts. Body positioning and proper pad level. instances, family health is adequate. Select Nassau and Suffolk County High Defensive Backs Insurance Company ___________________ School Football Coaches Emphasis on balance, stance and back pedal technique. Ball drills and strip drills. Policy #: ___________________________ Select Long Island Youth Coaches Pride Football Camp will give a discount to youth leagues registering 10+ players. Athletic Training ___________________________________ Please call 516-463-6653 or email [email protected] for more (Signature of Parent/Guardian) information. There will be a certified athletic trainer on staff at all times during each session..