ACHS
2015 Summer FIELD HOCKEY Camp
LOCATION: Antioch Community High School (McMillen Field)
DATE & TIME: For grades 9, 10, 11, & 12 June 8th – June 12th 3pm – 4:30pm
For grades 3, 4, 5, 6, 7& 8 June 8th – June 12th 4- 5:30pm
FEE: $100.00 (Includes camp and a t-shirt)
INSTRUCTORS: Terry Dewing (ACHS FH Head Coach, President of Illinois High School Field Hockey Association, and Windy City Travel coach )
This camp is designed to help emerging players develop necessary individual and team skills as well as offensive and defensive strategies needed to build a solid foundation. The emphasis of this program will be on fundamentals. The camp will focus on learning through small group and individual instruction. There will be plenty of time allotted for athletes to practice the skills that they have learned. This camp offers a perfect opportunity for athletes to learn the style of play and the winning attitude that we endorse at Antioch Community High School.
Athletes will need to have the following in order to participate:
o Mouth guard
o Shin guards
o Field Hockey stick ( ___ Need to borrow a stick)
o Cleats or running shoes
o Exercise clothing
You can purchase a stick on line or visit Soccer & More in Winnetka.
Please return the portion of this form to: Terry Dewing
c/o Antioch Community High School
1133 Main Street
Antioch, Illinois 60002
(847) 838-7638
Make Checks payable to: Antioch Community High School. No refunds given after registration deadline.
(Detach and return bottom portion with a copy of a current physical. Enrollment is limited. Pre–registration is required. Permission form, physical and payment required by May 22th 2015.)
Name: Home Phone:
Address: Height:______
Parent/Guardian Name: Work/Cell Phone:
School: Grade Level Fall ’15:
T-Shirt Size (Adult): S M L XL T-Shirt Size (Child): S M L XL
We hereby give permission to participate in the 2015 Community High School Field Hockey Camp. We will not hold Community High School Dist117Field Hockey Camp, its coaches, Community High School Dist117, Community High SchoolDist117 Board responsible in case of an accident or injury to our child while participating at this camp.
Parent Signature: Date:
Insurance Company: Policy #:
Emergency Contact Name & Number: