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Parental AuthorizationMy daughter has had a recent physical exam (within the past 12 months) and is both physically able to participate in all clinic activities and is also free from infectious diseases. I relieve the Director of Penfield High School of any responsibilities should any accidents occur. I give consent for a doctor to treat my daughter in case of injury or illness while attempting to contact parents and/or guardian.__________________________Signature of Parent/Guardian Date Insurance InformationA Camper is admitted only upon the expressed condition that she has current accident insurance (i.e. Blue Cross/Blue Shield) Insurance Carrier_______________________________ Group Number Policy Number Rules and Regulations Any actions deemed detrimental to health and safety of oneself or to the other campers or the destruction of property will result in immediate dismissal from the camp without refund.What to Wear:T- Shirt, Shorts, SneakersWhat to Bring: Water Bottle As always, Family Members are invited to the close of camp on the last day!Enrollments are limited and registrations will be accepted on a first come/first served basis.Questions? Call Coach Mark Vogt (585) 802-3214 or (585) 545-5067727710809625High School Camp at Penfield H.S July 8th-12th1-4pmEntering Grades 9-1200High School Camp at Penfield H.S July 8th-12th1-4pmEntering Grades 9-12Check out our website and search for Penfield Patriots72390010160Middle School Camp at Penfield H.SJuly 15th -19th 9-12amEntering Grades 6-800Middle School Camp at Penfield H.SJuly 15th -19th 9-12amEntering Grades 6-870675593345Elementary Camp at Penfield H.S Combination Basketball and Lacrosse July 22rd-26th 8:30-12 pm Entering Grades 2-5 /Register through Penfield Rec00Elementary Camp at Penfield H.S Combination Basketball and Lacrosse July 22rd-26th 8:30-12 pm Entering Grades 2-5 /Register through Penfield Rec2009/ 2012Section V Class AAA Champions-14668554737012 YEAR Record 200-62NYS Far West Regional Champions 2012 Section V AAA Champions 2009, 2012Section V AAA Finalist 2004/2006/2007 /2011/2013Section V AAA Semi Finalist 2003/2005/2008 All Greater rochester coach of the year 2009Section V AAA CoaCH OF THE YEAR 2009, 2011, 2012Monroe County Coach of the YEar 2003, 2009, 2011,2012, 2013Penfield High School Coach of the year 2007, 201119 Years High School Basketball coaching experience 18 years directing and coaching high school women’s Basketball camps 0012 YEAR Record 200-62NYS Far West Regional Champions 2012 Section V AAA Champions 2009, 2012Section V AAA Finalist 2004/2006/2007 /2011/2013Section V AAA Semi Finalist 2003/2005/2008 All Greater rochester coach of the year 2009Section V AAA CoaCH OF THE YEAR 2009, 2011, 2012Monroe County Coach of the YEar 2003, 2009, 2011,2012, 2013Penfield High School Coach of the year 2007, 201119 Years High School Basketball coaching experience 18 years directing and coaching high school women’s Basketball camps Staff MARK VOGT Penfield Patriots Varsity Basketball Coach332803512573000Pat MuldowneyPatriots Varsity Assistant CoachGary WilkinsPATRIOTS JUNIOR VARSITY Coach Hillary LincourtPATRIOTS MODIFIED A coachPast and Present Players will also be instructing at the camps!Camp Philosophy and Overview The Penfield Patriots Women’s Basketball Program is committed to teaching our athletes fundamentals, sportsmanship, and teamwork. These skills are essential to achieving success both on and off the court. Athletes should expect to leave the camp with stronger skills, a better understanding of the game and what it takes to compete at the next level.Games, discussions, drills and contests will create a fun learning environment. Benefits of AttendingQuality InstructionSafe & Supportive EnvironmentComprehensive EvaluationHandouts on Individual WorkoutsCamp T ShirtEnjoyable Week of BasketballApplicationName: ________________________________ Phone: (Home )______________________ (Work)___________(Cell)_______________Email : ______________________Grade (Fall 2013):_____Age_____Shirt Size (Adult Sizes): S, M, LFees:High School Camp - Entering Grades 9-12 July 8th-12th 1-4pm $90 ______Middle School Camp-Entering Grades 6-8 July 15thth -19th 9-12 pm $90 ______Elementary Camp-Entering Grades 3-5 July 22rd- 26th 8:30-12 pm Register with Penfield ReCTotal ________Please Make checks payable to Penfield Sports Boosters and return payment with completed application to: Coach Vogt 3217 Pine view Drive Walworth, NY 14568 ................
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