Field Hockey Camp PMHS
C A MPER R EG ISTRATION Camper Name: Date of Birth:
Field Hockey Camp PMHS
Grade (in fall)
What high school will your daughter be attending/is districted for in the future? (for grouping purposes):
Experience:
Position:
(Goalies– please indicated if you need equipment )
Held at Ring Factory Elementary School
Parent Information: Email Address:
Phone: Emergency Contact: Phone:
Questions About Camp: Contact: Shannon Swinscoe ***Email: [email protected] Phone: 410-692-4432
Allergies/ Medical Problems/ Other Concerns:
Mail Registration Forms to: Attention: Shannon Swinscoe 4112 Croftleight Court Jarrettsville, MD 21084 vv
Monday July 27thThursday July 30th
Camp Information
Meet our Camp Coaches
and
About the Camp: Camp will be run and organized by
Camp Waiver
Shan-
P ATTERSON M ILL IN 2010 AND JUST FINISHED HER COLLEGE CAREER AT N EUMAN U NIVERSITY . L INDSEY WAS SELECTED FOR 1 ST TEAM ALL CONFERENCE 3 YEARS IN A ROW ! L INDSEY IS THE GOALIE COACH AT P ATTERSON M ILL AND H EAD G OALIE COACH FOR H2O C LUB . S HE WILL BE OUR CAMP G OALIE C OACH .
non Swinscoe, who has been the Head Varsity Field Hockey Coach at Patterson Mill High School since the school opened. Lee Swinscoe and Pat Troyer, assistant coaches at PMHS, will also be helping with the camp. The camp will
be staffed by Patterson Mill Alumni and current, experienced high school players at Patterson Mill. The staff will be monitored by Coach
2010 AND PLAYED FOR S TEVENSON U NIVERSITY . A MAND A IS ALSO THE JV COACH AT P ATTERSON M ILL .
Monday July 27th– Thursday July 30th
K– 10th grade( JV level)
S AMANTHA R UTK OWSK I - S AM GRAUDATED FROM
*****Registration Deadline July 1st***** After July 1st cost is $145 per camper
(ERC). I accept full, personal responsibility of any injury that may result from the participation of my child in FHC at ERC and do not hold any
consent and agree to his/her release as provided.
M A RI EL C ASTR ON OVA – M ARIEL GRADUATED FROM
that I as a parent/guardian with legal
Child’s Name: _________________________________
A LY YS A J OURDAN – A LYYSA GRADUATED FROM PM ILL
2014 AND SPECIALIZES IN OFFENSE . A LYSSA PLAYS S TEVENSON U NIVERSITY .
L INN EA G ONZALE S –L INNEA GRADUATED FROM PM ILLL 2015 AND IS CURRENTL Y ON THE US UN DER 21 N ATI ONAL S QUAD ! L INNEA WILL CONTINUE HER HOCKEY CAREER AT U NIVERSITY OF M ARYLAND IN THE FALL . IN
Emmorton Rec Council (ERC)
(FHC) held by the Emmorton Recreational Council
responsibility for the participant below, do
IN
sporting events including Field Hockey Camp
PM ILL IN 2013 AND SPECIALIZES IN DEFENSE C HRISTI-
FOR
Checks made payable to:
including serious debilitating, is included in
C HR ISTI NA C LAY POOL – C HRISTINA GRADUATED FROM
PM ILL IN 2014 AND IS A FAST , GOAL - SCORING FORWARD .
Cost: $130 per camper (2 for $250)
I hereby acknowledge that the risk of injury,
employee of FHC or ERC liable. This is to certify
M C D ANIEL C OLLEGE .
Release of Liability
PM ILL IN 2011 AND CURRENTLY PLAYS CLUB FOR THE U NIVERSITY OF D ELAWARE . S AM IS VERY AGGRESSIVE AND HAS A KNACK FOR GOAL - SCORING .
NA JUST FINISHED HER SOPHOMORE YEAR PLAYING FOR
Ring Factory Elementary School Ages of campers:
S ARAH R I XHAM - S ARAH GRADUATED FROM PM ILL IN 2010 AND SHE JUST FINISHED HER COLLEGE CAREER AT S TEVENSON U NIVERSITY . S ARAH SPECIALIZES IN DEFENSE .
the game.
5:00pm– 8:00pm
A MAND A C ALCAD O – A MANDA GRADUATED FROM PM ILL IN
Swinscoe. All coaches have a true passion for
Dates/ Times/Location
L IND SE Y K AS ECAM P – L INDSEY GRADUATED FROM
*** S OME C OACH ES MAY CHAN GE DU E TO AVA ILABIL ITY ** *
Parent/ Guardian Signature: _________________________________
Date:_____________
Field Hockey Camp PMHS
Grade (in fall)
What high school will your daughter be attending/is districted for in the future? (for grouping purposes):
Experience:
Position:
(Goalies– please indicated if you need equipment )
Held at Ring Factory Elementary School
Parent Information: Email Address:
Phone: Emergency Contact: Phone:
Questions About Camp: Contact: Shannon Swinscoe ***Email: [email protected] Phone: 410-692-4432
Allergies/ Medical Problems/ Other Concerns:
Mail Registration Forms to: Attention: Shannon Swinscoe 4112 Croftleight Court Jarrettsville, MD 21084 vv
Monday July 27thThursday July 30th
Camp Information
Meet our Camp Coaches
and
About the Camp: Camp will be run and organized by
Camp Waiver
Shan-
P ATTERSON M ILL IN 2010 AND JUST FINISHED HER COLLEGE CAREER AT N EUMAN U NIVERSITY . L INDSEY WAS SELECTED FOR 1 ST TEAM ALL CONFERENCE 3 YEARS IN A ROW ! L INDSEY IS THE GOALIE COACH AT P ATTERSON M ILL AND H EAD G OALIE COACH FOR H2O C LUB . S HE WILL BE OUR CAMP G OALIE C OACH .
non Swinscoe, who has been the Head Varsity Field Hockey Coach at Patterson Mill High School since the school opened. Lee Swinscoe and Pat Troyer, assistant coaches at PMHS, will also be helping with the camp. The camp will
be staffed by Patterson Mill Alumni and current, experienced high school players at Patterson Mill. The staff will be monitored by Coach
2010 AND PLAYED FOR S TEVENSON U NIVERSITY . A MAND A IS ALSO THE JV COACH AT P ATTERSON M ILL .
Monday July 27th– Thursday July 30th
K– 10th grade( JV level)
S AMANTHA R UTK OWSK I - S AM GRAUDATED FROM
*****Registration Deadline July 1st***** After July 1st cost is $145 per camper
(ERC). I accept full, personal responsibility of any injury that may result from the participation of my child in FHC at ERC and do not hold any
consent and agree to his/her release as provided.
M A RI EL C ASTR ON OVA – M ARIEL GRADUATED FROM
that I as a parent/guardian with legal
Child’s Name: _________________________________
A LY YS A J OURDAN – A LYYSA GRADUATED FROM PM ILL
2014 AND SPECIALIZES IN OFFENSE . A LYSSA PLAYS S TEVENSON U NIVERSITY .
L INN EA G ONZALE S –L INNEA GRADUATED FROM PM ILLL 2015 AND IS CURRENTL Y ON THE US UN DER 21 N ATI ONAL S QUAD ! L INNEA WILL CONTINUE HER HOCKEY CAREER AT U NIVERSITY OF M ARYLAND IN THE FALL . IN
Emmorton Rec Council (ERC)
(FHC) held by the Emmorton Recreational Council
responsibility for the participant below, do
IN
sporting events including Field Hockey Camp
PM ILL IN 2013 AND SPECIALIZES IN DEFENSE C HRISTI-
FOR
Checks made payable to:
including serious debilitating, is included in
C HR ISTI NA C LAY POOL – C HRISTINA GRADUATED FROM
PM ILL IN 2014 AND IS A FAST , GOAL - SCORING FORWARD .
Cost: $130 per camper (2 for $250)
I hereby acknowledge that the risk of injury,
employee of FHC or ERC liable. This is to certify
M C D ANIEL C OLLEGE .
Release of Liability
PM ILL IN 2011 AND CURRENTLY PLAYS CLUB FOR THE U NIVERSITY OF D ELAWARE . S AM IS VERY AGGRESSIVE AND HAS A KNACK FOR GOAL - SCORING .
NA JUST FINISHED HER SOPHOMORE YEAR PLAYING FOR
Ring Factory Elementary School Ages of campers:
S ARAH R I XHAM - S ARAH GRADUATED FROM PM ILL IN 2010 AND SHE JUST FINISHED HER COLLEGE CAREER AT S TEVENSON U NIVERSITY . S ARAH SPECIALIZES IN DEFENSE .
the game.
5:00pm– 8:00pm
A MAND A C ALCAD O – A MANDA GRADUATED FROM PM ILL IN
Swinscoe. All coaches have a true passion for
Dates/ Times/Location
L IND SE Y K AS ECAM P – L INDSEY GRADUATED FROM
*** S OME C OACH ES MAY CHAN GE DU E TO AVA ILABIL ITY ** *
Parent/ Guardian Signature: _________________________________
Date:_____________
