(Check all sessions your child will be attending) SPORTS CAMP PROGRAM DATES ______ Boys Baseball June 28-July 2 ______ Boys Lacrosse June 28-July 2 ______ Girls Lacrosse July 5-July 9 ______ Girls Softball July 12-July 16 ______ Football July 19-July 23 ______ Field Hockey July 26-July 30 ______ Girls Basketball July 26-July 30 ______ Boys Basketball August 2-August 6 ______ Each 1-week sports camp ($450) Total ________ Sibling Discount 15% ________ Team Discount (5 or more) 10% ________ C.W. Post Employee Discount 25% ________ Subtotal ________ After Camp ($75 per week) Total ________ Deposit ________ Balance ________ For applicants using credit cards only: Please charge my credit card in the amount of $ __________ I am charging this fee to: MasterCard VISA Discover My credit card number is: ____________________________ Exp. Date (Month/Year) ______________________________ Name of Cardholder (please print) ______________________ CWC# (located on back of card, 3 digit #) ________________ Signature of Cardholder______________________________ Photo Release – In the event that photographs are taken during the course of this program, I hereby grant permission to C.W. Post to use the photographs for promotional purposes. Furthermore, in the event that I am asked to comment on the program, I hereby grant permission to C.W. Post to use my quote for promotional purposes. General Release – I understand and certify that my child’s participation in the C.W. Post Summer Day Camp/Pioneer Sports Academy and its activities is completely voluntary, and I have familiarized myself with the camp’s programs and activities in which my child will be participating. I recognize that certain hazards are inherent in the C.W. Post Summer Day Camp/Pioneer Sports Academy activities, and I acknowledge that, although C.W. Post Summer Day Camp/Pioneer Sports Academy has taken safety measures to minimize the risk of injury to camp participants, C.W. Post cannot insure or guarantee that the participants, equipment, premises and/or activities will be free of hazards, accidents and/or injuries. I recognize and have instructed my child in the importance of knowing and abiding by the camp’s rules and procedures for the safety of the camp participants. I hereby release C.W. Post, its employees and agents, from any damages or injury including death caused by, derived from, or associated with my child’s participation in the camp, except for such damages or injury or death as may be caused by gross negligence or willful misconduct of the employees or agents of C.W. Post. I agree to cover all medical bills not covered by my insurance. X X Parent/Guardian Signature Date OUR STAFF All camps will be led by the C.W. Post Pioneers’ awardwinning coaches and their assistants. Each camp group will be supervised at all times by at least two counselors, making our counselor-to-camper ratio 1-to-7. Since we are committed to Coach Raenee Savin providing the most positive experience possible, only the most caring, patient and responsible candidates are selected as counselors and program staff to care for our campers. Our general counselors are over 18 and our coaches and athletics staff are over 21 years of age. Our staff is dedicated to teaching skills through motivating fun-filled activities, drills and positive reinforcements. Our counselors and coaching staff are certified in Standard First Aid and CPR. Before the campers arrive, all staff members participate in an intensive training week of safety, counseling, teaching and camp policies and procedures. REFUNDS Tuition is refundable until June 8, 2010, less the nonrefundable deposit of $200. There will be no exceptions. All withdrawals must be submitted in writing to the C.W. Post Youth Camps’ Office no later than June 8, 2010. There will be no refunds for days missed. If a camper is absent for 5 consecutive days due to illness, a credit only will be given with a doctor’s note. C.W. Post Pioneer Sports Academy reserves the right to dismiss a camper whose conduct or influence is unsatisfactory or, in the opinion of the director, not in the best interest of the camp. In the event of such a dismissal, no refund or credit will be made. Possession of tobacco, alcohol, illegal drugs or weapons is grounds for immediate dismissal from camp. If camp closes due to a natural disaster such as a blackout, hurricane, etc., there will be no refund issued for that day or days. A $200 deposit must accompany the registration form and will be deducted from the tuition. THE BALANCE MUST BE PAID IN FULL BEFORE JUNE 8, 2010. CAMPERS MUST BE REGISTERED IN ADVANCE. SINCE CAMP SIZE IS LIMITED, EARLY REGISTRATION IS ENCOURAGED. CAMP FILLS UP QUICKLY. TRANSPORTATION Parents must provide transportation to and from the camp. Drop-off and pick-up instructions will be mailed to you with your confirmation. Drop-off is between 8:30-9:00 a.m. Pick-up is at 3:30 p.m. C.W. Post is located on Route 25A (Northern Blvd.) between Route 107 and Glen Cove Road in Brookville. Signs on Campus will direct you to the camp drop-off location. C.W. POST PIONEER SPORTS ACADEMY FIELD HOCKEY CAMP July 26-30, 2010 PIONEER SPORTS ACADEMY 2010 w w w . l i u . e d u / c w p o s t / s u m m e r c a m p s PLEASE ENROLL MY CHILD IN THE FOLLOWING PIONEER SPORTS ACADEMY SESSIONS GIRLS FIELD HOCKEY CAMP HEAD COACH • RAENEE SAVIN Camp Dates: July 26-30, 2010 For campers ages 7 - 17 The PIONEER SPORTS ACADEMY GIRLS FIELD HOCKEY CAMP is committed to providing the finest caliber of field hockey instruction to girls and boys in Long Island’s growing field hockey community. Players of all skill levels will engage in learning, practicing and improving all areas of the game. Campers are given individualized instruction and are also placed in small groups based on age and ability. For the college-bound athlete, the Pioneer Sports Academy Field Hockey Camp provides a great arena for college coaches to get a good look at the advanced player. From start to finish, campers are exposed to a high level of instruction and introduced to motivational skills that will assist beginners and experienced players alike. The Pioneer Sports Academy Field Hockey Camp is under the direction of C.W. Post Head Field Hockey Coach, Raenee Savin. Savin is en route to becoming the most successful coach in C.W. Post Field Hockey history. Under her supervision, the 2007 Pioneer squad experienced the most victorious season in school history, finishing with a record of 16-4 and a berth in the NCAA Championships. Joining the Pennsylvania State Athletic Conference (PSAC) in 2008, the Pioneers continue to be successful in, unquestionably, the most competitive field hockey conference in Division II. INSTRUCTIONAL FOCUS ❑ Offensive Skills: Shooting & Scoring ❑ Passing & Receiving ❑ Elimination Skills ❑ Ball Control & Possession ❑ Defensive Skills: Jabs ❑ Block Tackles ❑ Channeling ❑ Communication Sport specific footwork and conditioning for field players & goalies! TYPICAL DAILY SCHEDULE (times & events may vary) 8:30-9 a.m. Drop-Off 9-9:30 a.m. Warm-Up and Functional Stretching 9:30-10:30 a.m. Offensive Skill stations 10:30-11:30 a.m. Defensive Skill stations 11:30 a.m.-12 p.m. Game Situations 12-1 p.m. Lunch (provided daily) 1-2 p.m. Swim 2-3:15 p.m. Small Sided Games 3:15-3:30 p.m. Snack 3:30 p.m. Pick-Up REGISTRATION FORM PRATT RECREATION CENTER Campers will have access to the Pratt Recreation Center, a 77,000-square-foot state-of-the-art facility featuring an 8-lane swimming pool; a gymnasium with three full-size courts for basketball and volleyball; an elevated Mondo-X indoor jogging track; fitness and weight training room; a multipurpose room for aerobics; and two racquetball courts. After-Camp Program available until 6 p.m. for additional fee. WHAT TO BRING TO CAMP ❑ Extra T-shirts ❑ Extra Socks ❑ Bathing Suit/Towel ❑ Sneakers ❑ Water Bottle* PLEASE LABEL ALL ITEMS CLEARLY WITH FIRST AND LAST NAMES. The Pioneer Sports Academy is not responsible for lost or stolen items. *water breaks will be implemented during all instructional/game times C.W. POST CAMPUS The C.W. Post Campus of Long Island University is located on 307 beautiful acres in Brookville, New York, on the north shore of Long Island. The campus is set in the idyllic neighborhood known as the “Gold Cost,” an historic suburban community that has been the subject of popular novels and major motion pictures. The campus is just 50 minutes away from the excitement of New York City. Please return this application and a check for the $200 deposit (made payable to Long Island University) or your completed credit card information to: C.W. Post Youth Camps, Pioneer Sports Academy, C.W. Post Campus, Long Island University, 720 Northern Blvd., Brookville, New York 11548-1300. This form may be photocopied if more than one child will be attending. If paying by credit card, you may fax your registration to: (516) 299-3435. Child’s Name__________________________________ Male Female Age (as of 6/8/10): __________ Birthdate __________ Has your child previously attended the Day Camp at C.W. Post? Yes How many years? _______ No Child lives with: (Indicate all that apply) Father Mother Step-Parent Other (Fill-in) _____________________________ My child may be released to the following person/persons: Parent(s) or Guardian(s) __________________________ Permanent Address ____________________________ City ________________________________________ State ______________________________________ The C.W. Post Youth Camps and Pioneer Sports Academy are licensed by and given a permit by the New York State Department of Health. The Camps are inspected twice yearly. Persons may obtain a copy of the camp’s records at the Nassau County Department of Health Office of Recreational Facilities Children’s Camps, 106 Charles Lindberg Blvd., Uniondale, NY 11553. Inquiries can be made Monday-Friday 9 a.m.-4:45 p.m. at (516) 227-9717 or fax (516) 227-9613. C.W. Post Pioneer Sports Academy is accredited by the American Camping Association. C.W. POST PIONEER SPORTS ACADEMY • www.liu.edu/cwpost/summercamps ZIP Code ____________________________________ Home Phone ( ) ____________________________ Cell Phone (mother) ( Cell Phone (father) ( ) ________________________ ) ________________________ E-mail address ________________________________ T-shirt Size (Circle one): Child: XS S M L XL or Adult: S M L XL How did you hear about C.W. Post Pioneer Sports Academy?____________________________________
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