CAPITALLAND LACROSSE AND FIELD HOCKEY
CO-PRESIDENTS - GARY R. WEISS MAILING ADDRESS - 7 AZALEA COURT - CLIFTON PARK, NY 12065 518-527-1340 or 527-6110 CHAD C. FINCK E-MAIL ADDRESS - WEB PAGE - CAPITALLANDLACROSSE.COM
2015 GIRLS FALL FIELD HOCKEY PROGRAMS
The Capitalland Field hockey Club is offering the following September & October programs on the fields in front of the hockey rink at the Clifton Commons in Clifton Park. Our program is designed to give beginners a chance to learn field hockey & to give novice & advanced players a chance to improve their existing skill levels. Each level will be coached by some of the areas finest coaches who will bring their proven techniques for teaching field hockey to our program. Each player will be given quality instruction that fits the player’s level of experience. That instruction includes: stick handling, passing, offensive tactics & techniques, defensive tactics & techniques, team concepts, goal keeping skills, live games skills & tactics, as well as, field evaluations & coach’s recommendations. Program details are listed below and our REGISTRATION FORM IS ON THE BACK.
DATES: All Tuesday programs will start on Sept. 15 and end on Oct. 13. Sunday programs will start on Sept. 13 and end on Oct. 25 excluding Sept. 27 & October 11.
PROGRAM DETAILS & LOCATION: All programs will be held at the Clifton Commons in Clifton Park. You do not need to be a town of Clifton Park resident to participate in our programs. In each program players will be assigned to groups based on their age and skill level. Younger advanced players can play up a level. FEES: Each program has a fee listed next to it. We also have a PAY PER NIGHT program for those players who cannot commit to the entire program. To take part in our pay per night program just show up 15 minutes before your time frame to register. We will be accepting applications up to ½ hour prior to each scheduled session as long as spots are available. To REGISTER see the form on the back. EQUIPMENT – will be available to rent for a small fee. A security deposit is required that will be given back when the equipment is returned. All players need a mouth piece which we will have available for $5 if one is needed. All girls will need a stick, shin guards, & goggles.
FIELD DIRECTIONS are listed on the next page. BAD WEATHER: If weather conditions are threatening, please contact 527-1340 or 527-6110 one hour before play is to begin to see if field hockey is on.
O GIRLS BEGINNER & NOVICE PROGRAM GRADES 3 - 10 This program is for girls who are beginner or novice players who need to sharpen their basic skills while being introduced to more advanced techniques. Players will be divided by age and skill levels. *Use session and dates listed below for these programs.
O GIRLS ADVANCED SKILLS PROGRAM GRADES 6 - 10 This program is for the intermediate & advanced skill level players who have been playing field hockey for a while & have a good deal of skill. These players want to refine their skills while being introduced to more advanced techniques. *Use session and dates listed below for these programs.
Session 5801 Tuesdays nights for Beg/Novice 5:30 to 7:00 pm FEE: $130 Per day fee: $30 *Session numbers at the LEFT
Session 5802 Sunday for Beg/Novice 3:00 to 4:30 pm FEE: $130 Per day fee: $30 are needed for the registration
Session 5803 Both Tuesdays & Sunday Beg/Novice FEE: $235 Per day fee: $30 form on the back side of this form.
Session 5801 Tuesdays nights for Advanced skilled 5:30 to 7:00 pm FEE: $130 Per day fee: $30
Session 5802 Sunday for Advanced skilled 3:00 to 4:30 pm FEE: $130 Per day fee: $30
Session 5803 Both Tuesdays & Sunday Advanced skilled FEE: $235 Per day fee: $30
UPCOMING GIRL’S FIELD HOCKEY EVENTS – November/December instructional programs for all ages and leagues for Modified, JV and Varsity levels.
January/February instructional programs for all ages and leagues for Modified, JV and Varsity levels.
OTHER FALL PROGRAMS – Girl’s lacrosse for beginner, novice and advanced players in graders K-12th.
Boy’s lacrosse for beginner, novice and advanced players in graders K-12th
For more information on all of our fall, winter, spring and summer programs visit www.capitallandlacrosse.com.
Registration Application Form **You do not have to be a town of Clifton Park resident to join. Our on-line registration will be available on AUGUST 17TH at www.cliftonpark.org To register before that date or at any time by check send this form and payment to – 7 Azalea court, Clifton park NY 12065. All checks are made out to the town of Clifton Park. We will also be taking applications one half an hour before all events starts at our practice site. Use this form to register for all programs, EXCEPT our pay per night program. Just show up 15 minutes before your program starts to do this. GAME SITE: Clifton Commons Sports Field. Take exit 9 off the Northway. Head West. Go passed Shen Central School. Just passed Pizza Hut, take left at the light. Clifton Commons is ½ mile on the left. As you go into the commons, go straight to the parking lot on the right. The field is next to the lot right in front of the hockey rink.
Household Name: ______
Address: ______
Town/City: ______St: _____ Zip: ______
Home #: ______Work #: ______Email address:______/ Please fill out this side with any emergency contact information.
Emergency contacts:
Name: ______Name: ______
Number: ______Number: ______
*All check need to be made out to the town of Clifton Park.
Session # / Activity Name / Start Date / Time / Place / Fee / Registrant’s Name / Date of Birth / Male/Female
*All check need to be made out to the town of Clifton Park. TOTAL FEE: / Make checks payable to: Town of Clifton Park
Mail to: Parks, Recreation & Community Affairs, 1 Town Hall Plaza, Clifton Park, NY 12065
If minor: please fill in the following: I ______, the parent/legal guardian of, ______do hereby consent to his/her participation in the above recreation program(s) sponsored by Town of Clifton Park. I assume, for and on behalf of my child, all risks and hazards incidental to such participation. I agree that if he/she does suffer any injury the Town of Clifton Park's Parks, Recreation and Community Affairs, through its employees or agents, has my permission to sign consent forms required for any necessary emergency medical treatment. This consent shall apply to emergency situations only, and only if the parent/legal guardians listed above are not reachable at the numbers listed, to obtain my/our consent.
I recognize the difficulties and challenges involved in the outdoor, sports programs and camps, and that I or my child is sufficiently physically and psychologically fit to participate and has not been advised otherwise by a physician. I agree to indemnify and hold harmless the Town of Clifton Park, its employees and personnel from any and all claims, causes of action, liability for injuries or damages which may arise as a result of participating in this recreation program and its trips and activities, including, but not limited to, reasonable attorney's fees and the costs and disbursements of any legal actions. I do hereby waive, relinquish, release, discharge, and hold The Town of Clifton Park harmless from any and all liabilities, for any physical or mental injury or aggravation of any pre-existing illness, handicap, and death, loss of enjoyment, or any other harm or loss of nature which may be sustained by myself or my child while participating in the recreation program. The scope of this agreement extends to any actions taken by the Town of Clifton Park Office of Parks, Recreation & Community Affairs, the Town of Clifton Park, its employees, personnel, volunteers, and the instructor of any class or activity in responding to any emergency and/or medical situation or event.
I understand that all refund requests must be in writing and received 10 days prior to start of program and that there will be NO refunds after this time. Further, I acknowledge that there will be a $10 non-refundable charge on all registrations.
Participants may be photographed while participating in a Clifton Park Parks & Recreation program and said photographs may be used to publicize activities as the Town deems appropriate.
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Signature of Participant or Parent (if participant is under 18 yrs. of age) Date