WAIVER/RELEASE FORM Parental release I, the undersigned, being the legal guardian of the above-named child, do hereby grant permission for participation in all activities sponsored by the Junior Field Hockey Recreation program and Noon Sports Academy. I assume all risks and hazards incidental to such participation and release the Mountain Lakes Junior Field Hockey program, Noon Sports Academy, and its agents and assigns from any liability and/or responsibility for any injuries sustained by my child or expense incurred there from while engaged in or traveling to or from any activities of the above-named organization. Further, I attest that my child is in good health and able to participate in the Mountain Lakes Junior Field Hockey program and Noon Sports Academy. I agree to notify my child’s coach if there is any medical problem of which she should be aware. If my child incurs an injury and I cannot be reached, I give the coach my permission to seek emergency medical care. ____________________________ ______________ Child’s Name Date __________________________________ Print Parent/Guardian Name Basic Skills for Beginners Individual Offensive and Defensive Skills and Strategies Positional Coaching Game Paced Drills Small Group Instruction based on level of play Circuit Training Small Sided Games WHAT TO BRING: - Field hockey stick - Shin guards - Molded mouth guard - Sneakers - Water - Goalkeepers must provide their own equipment Ages: 3rd through 12th graders ____________________________ Signature of Parent *Child will not be able to participate without this form completed and signed. Make checks payable to: “Mountain Lakes Recreation” PLEASE MAKE SURE BOTH SIDES OF THIS APPLICATION ARE COMPLETED. June 29-July 2, 2015 3:00-6:00pm Wilkins Turf Field Mountain Lakes, NJ Sponsored by: Mountain Lakes Recreation Jenn Noon Fairleigh Dickinson Head Coach Noon is the Associate Athletic Director and Head Field Hockey Coach at Fairleigh Dickinson University-Florham Campus. The Devils finished their most decorated season as they advanced to the “Sweet 16” of the NCAA Tournament. Noon lead the team to a Conference Championship in 2014, ECAC Mid-Atlantic Finalists in 2012 and Freedom Conference Finalists in 2011. Noon was named Freedom Conference “Coach of the Year” in 2014 and 2011. Noon also coaches for the United States Field Hockey Futures Program and is a Level I and Level II USA Field Hockey Sanctioned Coach. She serves on the NCAA Regional Ranking Committee, the NCAA All- American Selection Committee, the NCAA Coach of the Year Selection Committee, and the ECAC Championship Selection Committee. Noon also owns and directs Competitor’s Edge Field Hockey Camps. A standout field hockey player at Rutgers University, Noon was a four time letter winner and was named First Team All-Big East in 2003. She was also a three time AllAcademic player, a member of the National Academic Team, Big East Offensive Player of the Week, and a recipient of the field hockey team’s “Mission Statement Award.” Noon currently is a member of USA Field Hockey, the NFHCA, and the NJFHA. Noon Sports Academy was created to provide more playing and learning opportunities for youth in the North Jersey area. Our goal is to teach fundamental field hockey skills in a positive learning environment. Drills are specifically designed to give players more touches on the ball, repetitions, and small group coaching for quick improvement. Players will be divided by age/skill levels and go through circuit training and small game play. This Academy will strive to give each player the confidence and inspiration to continue participating. We hope to spread our love for the sport to the next generation of field hockey players. Application / Registration June 29-July 2, 2015 3:00-6:00pm Wilkins Turf Field Mountain Lakes, NJ Name _________ Street __________ City_ _________________ ______ Zip __________ Parents Name: Home Phone: Emergency Phone: TIME: 3:00-6:00pm June 29-July 2, 2015 WHERE: Wilkins Field Mountain Lakes, NJ on artificial turf WHO: Current 3rd-12h graders COST: $125 if postmarked by 5/31 $145 after 5/31 Make checks payable to: “Mountain Lakes Recreation” __________ __________ _________ ___________ Email: ____________________________________ Age at Camp: School: Grade:____________ ___________ Years of Experience: ______ Position: ___________ Shirt Size: Youth or Adult (Circle One) S M L XL (Circle One) Mail to: Jenn Noon Head Field Hockey Coach Fairleigh Dickinson University Florham Campus 285 Madison Avenue, M-RC2-01 Madison, NJ 07940
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