WHEN June 18 – June 21 Cost: $120 Camp is open to rising 5th – 9th grade students, regardless of experience. All levels of play are welcome to come and join. Camp will run 5:30pm – 8:30pm daily. NOTE: Check-in will be 30 min before starting time on 1st day of camp. Final payment due at check-in (if not paid already). LOCATION Warhawk camp is conveniently located at Madison High School near the intersection of Nutley Street and Rt 123. We will play on the Bermuda grass field hockey field in the back of the school building. WHAT TO BRING Field Hockey Stick Mouthguard Shinguards (soccer type) Waterbottle Cleats or shoes to play in Snack for mid evening Cash for Gatorade or snacks to buy Each camper will receive a ball on the 1st day of camp Camp Staff 2012 Warhawk Camp Warhawk field hockey camp provides an opportunity for beginners and experienced players to refine skills and knowledge in the sport of field hockey. The camp provides excellent instruction on individual and team skills / concepts. Our goal is to provide individualized instruction in a fun and relaxed atmosphere. Please come out and join us! Registration To register for the camp, complete the form on the back of this flyer. Please send registration with payment by June 8th. You may pay in full or send a nonrefundable $60 deposit to: James Madison High School Activities Office – Field Hockey 2500 James Madison Dr. Vienna, VA 22181 A $20 late fee will be assessed for all registrations received after June 11th. This is so that teams can be made and organized into the appropriate groups prior to the start of camp. We do accept walk-ins, but prefer early registration. Please make checks payable to: JMHS Athletic Boosters Club Director: Marsha Ehrsam is the Varisty field hockey coach at Madison and a Health and Physical Education teacher. She has been coaching field hockey for 26 years and has also been the former Varsity Coach at both Oakton and McLean High Schools. Coaches The coaching staff consists of excellent high school coaches as well as college level players. Each team consists of no more than 12 players with a coach and a counselor. This creates a 6:1 ratio of coaches to players. Counselors Each team at camp will have 1-2 counselors in addition to a coach. The counselors consist of junior and senior Varsity players from the Warhawk program. These counselors provide a unique experience for our campers in which they can learn about the high school field hockey program from the players themselves. For more information contact: Marsha.ehrsam@fcps.edu 703-319-2370 Medical Consent Form Signed: __________________________________ (parent or legal guardian) Print Name:______________________ Date: ____ James Madison H S 2500 James Madison Dr. Vienna, VA 22181 I hereby state that my child is in good, normal health and has my permission to participate in all activities. In addition, I authorize the camp staff to act for my child in the event of injury or sickness. A registration requires that a parent/guardian sign below to agree that in case of an accident involving their child while attending Madison High School camp, they release the camp sponsor, counselors, and Director from any and all liabilities. 2012 Madison High School “Warhawk” Field Hockey Camp REGISTRATION FORM _____ Junior Hockey _____Warhwak Clinic ____Previous Summer Camp ____ Other (please list) CAMPER’S NAME___________________________________ Age____ School (’12-‘13) ___________________________ Grade (’12-‘13) _____ Address:___________________________________________________ Parents’ Name(s) ____________________________________________ Parent Email Address (PRINT):__________________________________ Home phone / cell: ___________________________________________ Emergency contact: _____________________Phone________________ Player Level: ______No Experience ______Youth Experience: Enclosed find: ____Non-refunable deposit ($60) OR ____Payment in full ($120) _____ I am requesting to borrow a stick for the week June 18 – June 21 Rising 5th – 9th Grade 5:30pm – 8:30pm Location: Field Hockey Field Madison High School Beginners, Intermediate, and Advanced 5th Annual Warhawk Field Hockey Camp Sponsored by the JMHS Athletic Booster Club