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Camp Fee
$30 per participant
Youth Field Hockey
Skills Camp
Please check your shirt size
Youth
XS
Adult
S M L XL 2XL 3XL
Program Contact
Name: Coach Lori Knights
Email: [email protected]
Phone #: 410-259-7941
Building Better,
Stronger Eagles.
Make Checks Payable to:
West Carroll Rec Council
Mail waiver form with check to
Coach Lori Knights
42 W Baltimore St
Taneytown, MD 21787
Lori Knights
42 W. Baltimore St.
Taneytown, MD 21787
Sponsored by the West Carroll Rec Council. WCRC is a volunteer
recreation council, sponsored by the Carroll County Recreation
and Parks program and was established to meet the recreational
needs of the county's citizens by providing a variety of
affordable sports programs and recreational services.
May 26th-29th, 2015
6:00 – 8:00 p.m.
Francis Scott Key High School
Grades K- 8
New to the Field Hockey sport
(0-2 years of experience)
Parent-Guardian
Waiver/Authorization
Players Name:
Age:
Next Year’s Grade:
Address:
Email:
Home Phone:
Emergency Phone:
Special Needs (medications etc…):
Please sign waiver/authorization
I/We approve of my child’s participation in any and all activities of
this program.
I/We assume all risks and hazards incidental to the conduct of the
activities, understanding that all children will be expected to be
insured against injury through the school they attend and/or the
parent’s place of employment and/or the parent individually.
I/We wavier all claims against the WCRC, Town of Union Bridge,
Town of New Windsor, Department of Recreation, Parks &
Facilities, its organizers, supervisors, managers, coaches or any
person affiliated with the program for injuries that may occur while
watching, playing or traveling to and from games.
I/We acknowledge and understand that my child will be subject to
school and/or WCRC rules of conduct.
I/We understand that a $25.00 fee will be charged for any checks
returned for NON-SUFFICIENT FUNDS.
I/We understand that there will be NO REFUND of registration
fees except for medical reasons or lack of participants in forming a
team.
I/We agree to our Code of Conduct, which is posted on our website
http://ccgovernment.carr.org/ccg/recpark/forms/c-conduct.pdf and
is available through our Program Coordinators or Coaches.
Authorization for Use of Photographic Likeness: I agree to allow
Carroll County Recreation and Parks to take and utilize
photographic images of the registered individual's for the purpose
of promotion and publicizing of the Department programs and/or
events. If I prefer to not allow the above registered participant/s to
be photographed, l will call 410-386-2103 to register my request.
I/WE acknowledge that the above items have been read and
understood.
Parent/Guardian Signature
Date
What to Expect
 Camp shirt
 Drills, fun activities and games
 Focus on fundamentals of the field
hockey sport and skills needed to
play
Items to Bring To Camp
 Sneakers (bad weather)
 Cleats
 Shin guards
 Mouth guards
 Drinks/Snacks: water is provided
Coaches
 FSK Varsity/ JV Coaches
 Current FSK Athletes
 Rebels Field Hockey Club Players