REGISTRATION FORM
NAME ______
Address: ______
Zip: ______Phone:______
Parents Name: ______
GRADE (Entering in Fall 2015)______
OFFENSIVE POSITION ______
DEFENSIVE POSITION ______
MEDICAL INFORMATION COACHES SHOULD BE AWARE OF ______
______
______
INSURANE COMPANY______
SUBSCRIBER NAME______
SUBSCRIBER ID#______
PLAN #______GROUP#______
I verify that my child has been checked by a licensed physician and is physically able to participate in this football camp. I agree to allow my child to be treated by a licensed physician if necessary and to assume all costs related to such treatment. I authorize the disclosure of medical information to my insurance for the purpose of claim. I understand that if this application is accepted there is no refund of the fee unless we can fill the spot. I hereby waive and release the Penfield Youth Football Camp, Staff and Penfield Schools from any and all liability for any injuries incurred by my child while attending camp.
Parent Signature ______
SHIRT SIZE _____ YL _____YM _____ YL _____YXL (ADULT SIZES) ____S ______M ______L ______XL
MAKE CHECKS PAYABLE TO :
PENFIELD FOOTBALL BOOSTER CLUB
FOR OFFICE USE ONLY
PAYMENT TYPE: CASH ______CHECK (#) ______
Typical CAmp schedule
12:00 Stretch/ Form run
12:10 Agilities
12:20 WATER BREAK
12:25 OFFENSIVE STATIONS
1:05 WATER BREAK
1:10 DEFENSIVE STATIONS
1:40 WATER BREAK
1:45 TEAM ACTIVITY
1:55 CLOSING
2015
PENFIELD YOUTH FOOTBALL CAMP
For students entering
GRADES 1-5
JULY 20-23 (MON-THURS)
TIME 12:00-2:00pm
PENFIELD HIGH SCHOOL
COST $60.00
cAMP philosophy
This camp will be tailored for athletes participating in the AYFCL and Pop Warner Youth Football programs. Emphasis will be on providing each participant with football fundamentals as well as specialty skills.
CAMP STAFF
GREG GEESLER
HEAD FOOTBALL COACH
penfielD High SChool
camp director
TERRY LLOYD
ASSISTANT FOOTBALL COACH
PENFIELD HIGH SCHOOL
PHIL LAPIETRA
ASSISTANT FOOTBALL COACH
PENFIELD HIGH SCHOOL
STEVE FLAGLER
ASSISTANT FOOTBALL COACH
PENFIELD HIGH SCHOOL
OTHER PENFIELD HIGH SCHOOL ASSISTANT COACHES AND VARSITY PLAYERS and YOUTH COACHES WILL BE ON HAND TO ENSURE MAXIMUM PARTICIPATION THROUGH A LOW PLAYER TO COACH RATIO
Areas of Instruction
Each Athlete will learn multiple offensive and defensive positions
Quarterbacks: proper throwing
technique, stance, dropping back, play action, sprint out passing, ball handling, and reading defenses.
Receivers: ball handling, stance,
receiving techniques, route running, and reading coverage.
Running Backs: ball handling,
stance, run and pass blocking, pass receiving, and reading blocks
Offensive Lineman: stance, starts, run and pass blocking, pulling, and trapping.
Defensive Line: stance, alignment, key reads, pass rush, run and pass defense, pursuit and tackling.
Linebackers and Secondary:
alignment, stance, proper position, pass coverage, pursuit and tackling
Participants should wear shorts,
t-shirt, sneakers, and bring A “labeled” water bottle. Drills will be
“passive” contact. Mouth guards and
cleats are strongly recommended, but are not required.
SESSIONS WILL RUN FROM 12:00-2:00
WHERE: PENFIELD HIGH SCHOOL
COST: $60.00
MAKE CHECKS PAYABLE TO:
PENFIELD FOOTBALL BOOSTER CLUB
REGISTRATION:
REGISTRATION CAN BE DONE BY FILLING OUT REGISTRATION FORM AND MAILING TO
Attn: COACH GREG GEESLER
PEnfield YouTH FOOTBALL CAMP
231 HEDGEGARTH DRIVE
ROCHESTER, NY 14617
MAIL IN REGISTRATION BY: TUESDAY, JULY 15th
*- ALL ATHLETES WiLL receive A CAMP TEE-SHIRT
LATE REGISTRATION:
MONDAY, JULY 20th FROM 11:30-12:00
* CASH ONLY
LATE REGISTRATION DOES NOT a GUARANTEE A CAMP T-SHIRT
eligibility:
ALL INTERESTED ATHLETES
ENTERING GRADES 1-5 IN FALL 2015.