Mt. Mansfield Youth Field Hockey CampTuesday August 19th-Friday 22nd 1pm-3pm

on the MMU Field Hockey field

Open to Girls and Boys K-8th Grade for the 2014/2015 school year

$50/super star athletePlease make checks out to MMU Friends of FH

Mail to: Paige Manning 421 Vt Rte 15 Underhill, VT 05489Questions? Please call MMU Varsity FH Coach Paige Manning at 802-999-2554

Field Hockey Superstar’s name__________________________________Parent/guardian name_________________________________________Parent Phone #______________________________________________Emergency Contact (in case parent can not be reached....)! Name_________________________ Phone #________________Address____________________________________________________Email___________________________

Superstar Age________________ School Grade 2014/2015___________________

General Release...It is understood that the Mt Mansfield Youth Field Hockey Camp does not provide medical insurance covering injuries of any nature during it’s Summer 2014 session. The undersigned hereby releases the Mt Mansfield coaches, players, administrators and employees from any and all claims, demands and causes of action resulting from participation in the Mt Mansfield Youth Field Hockey Program. I hereby authorize the directors of the Mt Mansfield Youth Field Hockey Camp to act with their best judgement in case of an emergency requiring medical attention.Parent/Guardian signature________________________________________Date_________________

Athletes MUST have a molded mouthguard, shinguards and a stick.

Goggles are voluntary, however athletes looking to play at the Middle School level will be required to wear certified FH Goggles for their seasons and this is a great

opportunity to progress their skill wearing the appropriate equipment.

All campers should pack a healthy light snack and arrive with full water bottles.