Parental Authorization

Parental Authorization

<p> illness while C P attempting to r a contact o s r parents and/or s e guardian. / n B t A l u u a e l t h S o h A i u r e t i l z d h ) o a t r I i i n z o s n u a r t a i n c o Signature of e n Parent/Gua My daughter rdian has had a Date recent physical exam (within I the past 12 n months) and s is both u r physically able a to participate n in all clinic c e activities and is also free I C from infectious n a f r diseases. I o relieve the r r i m Director of e Penfield High a t r School of any i responsibilities o should any n Group Number and accidents A Camper is admitted Policy Number occur. I give only upon the expressed consent for a doctor to treat condition that she has my daughter current accident insurance in case of injury or (e.g. Blue R What to Wear: Penfield girls u Reversib basketball l le e Summ Pinnies, s er Shorts, a Camps </p><p> n Sneaker 2017 Check out d s our R What to website: e Bring: hometeam g sonline.co Water m u Bottle and search for Penfield l Patriots a As always, Family Members are ti invited to the close 2009 / o of camp on the last 2012 / 2016 n day! S e s Enrollments are c limited and Any actions deemed detrimental to t registrations will be health and safety of one- self or to the i o other campers or the destruction of accepted on a first n property will result in immediate come/first served dismissal from the camp without basis. V refund. Ch QUESTIONS? am CALL pio COACH ns MARK VOGT (585) 802-3214 OR (585) 545- 5067 Staff Camp Philosophy and Application Overview Mark Vogt Name: The Penfield Patriots Women’s Basketball Program is committed Phone: (Home ) Penfield Patriots Varsity Basketball Coach to teaching our athletes fundamentals, sportsmanship, and teamwork. These skills are essential to achieving success both (Work) 16 YEAR RECORD 272-76 on and off the court. NYS FAR WEST REGIONAL CHAMPIONS Athletes should expect to leave the camp with stronger skills, a (Cell) 2012 SECTION V AAA CHAMPIONS 2009, better understanding of the game and what it takes to compete at the next level. 2012,2016 Email: MONROE COUNTY LEAGUE SECTIO Gam Gr Age N V AAA es, ad CHAMPIONS FINALIS disc e 2004,2009,2011,2012,2013,2014,2016,2017 T ussi 2004/2006 ons, (F /2007 / drill all 2011/2013 20 /2015 s and 17 SECTIO cont ): N V AAA ests SEMI will FINALIS T crea 2003/2005 te a /2008/201 fun 4/2017 lear ning envi ron men t 20 OACH ALL 12 OF THE GREATER M YEAR ROCHEST O 2003, ER N 2009, COACH R 2011, OF THE O 2012, YEAR 2013, E 2014, 2009 2017 C SECTION PENF O V AAA IELD U COACH HIG N OF THE H T YEAR SCH Y 2009, 2011, OOL C CO R B n  Ca Shirt Ent omstei Size AC S A st mp T (Adult eri H D S n r Shirt men’s OF I K sizes): Camar u ng TH R E S, M, ct  Enj L E E T yn io oyabl Gra YE C B Lochn n e Fe des AR T A er Week es:  S of 2007 I L Penfield 6— , N L Assistant afe Bask M Coaches & etball 8 201 G i 1 23 A C Sup Jul YE N A port d ive AR D M y Env d S C P B Past iron HIG O S e 10 men l H A and n — t e SC C Pres ef HO H Pat 14,  C OL I ent it Mu omp 1- BAS N ldo Play s rehe S KE G nsiv 4:0 of c TB H wn ers e At 0p AL I ey will Eva h L G te luati Lis m CO H also n on o AC S a o HIN C be di  H Kau $11 G H instr n and l EX O fma outs g 0 ucti on PER O n IEN L  Q Indi Syd ng C CE W u vidu al 2 O ney at a a Wor 2 M l Blo the kout H i E i m t s gh Y N cam p ’ y E ps! S c A S I — h — n des 2 and return payment o o 2 t —5 with completed l 1 a July 24— application 28, 9-12 to: C , r pm Please Coach Make Vogt a y *Register check s 3217 m 9 payab with le to Pine Penfie p - C View Penfi ld Drive Sports — 1 a Boost Walw eld ers orth, E 2 m NY 14568 nt p er p * in m — g E</p><p>G n ra $ t de 1 e s 1 r</p><p>9 0 i</p><p>— n</p><p>12 E g</p><p>J l ul e G y m r</p><p>17 e a</p>

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