Our Policies

Payments and confirmations: Deposits: In order to hold your reservation a $150 deposit is due within 10 days of placing your reservation. If payment of at least $150 is not received with 10 days, the reservation will not be guaranteed. When any payments are received your account will be updated and only the first $150 is non-refundable. Final Payment/Payment in full: Final/full payment must be postmarked by June 15th. Payments received after that will be subjected to additional fees. Additional fees will be automatically added to your account. * LATE PAYMENT FEE * If payment is not received in full by June 15th there will be a $25 late payment fee applied to your account. * LATE REGISTRATION FEE * - Call the office before you register to check availability. - Late registrations will only be accepted based on availability. - A late fee of $25 will be applied to the balance. - Full payment plus fee is due immediately. * CANCELLATION POLICY * We do not accept written or e-mailed cancellations. A call must be placed to the office to initiate a cancellation. $150 is non-refundable. 10 days prior to the start of camp there are no refunds. * OTHER CREDIT AND PAYMENT INFORMATION * If registered as an "Individual" player, or as a player on a team of fewer than 9 players, you will receive a credit of $20 upon the successful registration and payment of a 10th player from your school team to your selected East West camp. If registered as a "Team" player, and the number of players on your school team who are attending your selected East West camp falls below 9, a fee of $20 will be added to your camp costs and to the cost of each player from your school. * COMMUNICATION * All updates, confirmations, and information will be sent to the email address(s) supplied to us at the time of registration. (camper's and parent's) E-mails will come from bill@eastwestfieldhockeycamps.com In the subject line look for: FIELD HOCKEY INFO. * FORMS OF PAYMENT * - Payments received before June 15th: personal checks, bank checks money orders - Payments received after June15th: bank checks and money orders only. - Payments brought to camp with permission from office staff: bank checks, money orders and cash. WE DO NOT ACCEPT CREDIT CARDS * BOUNCED CHECKS * If a check is returned to us due to insufficient funds we will contact you. A $30 fee will be added to your account resulting in a certified check or money order as your only form of payment options. Make checks payable to: EAST WEST FIELD HOCKEY CAMPS MAIL PAYMENT TO: East West Field Hockey Camps P.O. Box 99 East Dorset, VT 05253 Toll Free: (866) 342-4042 Cell: (401) 480-4030 Email: bill@eastwestfieldhockeycamps.com * COSTS FOR ALL LOCATIONS * Individuals and teams registering up to 9 players: - Overnight: $480 - Day: $380 Teams from the same school registering 10 or more players: - Overnight: $460 - Day: $360 * DATES AND LOCATION * July 12 - 15 Worcester State College, MA July 16 - 19 Siena College, NY
Yes, I have read the camp policies and would like to continue to the enrollment form.

NOTE: Confirmation emails will be sent automatically from bill@eastwestfieldhockeycamps.com.
The subject line of important camp e-mails will be: FIELD HOCKEY INFO
Please configure your SPAM filter to allow these messages through.

  

2010 Team and Individual Camps

July 12 - 15          Worcester State College, MA
July 16 - 19          Siena College, NY
  

Camper Information

First Name
Last Name
Address
City
State -- Please Select -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip
Telephone  (  )  - 
Camper's (primary) Email
Confirm Email

Login Information

Choose a Password
Confirm Password

Parent/Guardian Information

Parent/Guardian First Name
Parent/Guardian Last Name


Parent/Guardian Email
Confirm Email

Second Parent/Guardian First Name
Second Parent/Guardian Last Name


Second Parent/Guardian Email
Confirm Email

Hockey Information

Anticipated Team in Fall 2010 -- Please Select -- College Varsity Junior Varsity Middle School Beginner
Currently Playing in The Futures Program? -- Please Select -- Yes No
Position -- Please Select -- Field Player Goalie

Coach's Information

Coach's Name
School
Team -- Please Select -- College Varsity Junior Varsity Middle School


Coach's Email
Confirm Coach's Email
Coach's Phone  (  )  - 

Personal Information

Grade in School, Fall of 2010 -- Please Select -- College 12th 11th 10th 9th 8th 7th
Age while at Camp -- Please Select -- 12 13 14 15 16 17 18 19 20 21
Date of Birth
Gender -- Please Select -- Female Male

Registering as...

  

Medical History

Have you had, or do you have, any of the following?

Chicken Pox    Yes No     Comments
German Measles    Yes No     Comments
Measles    Yes No     Comments
Mumps    Yes No     Comments
Whooping Cough    Yes No     Comments
Meningitis    Yes No     Comments
Appendectomy    Yes No     Comments
Diabetes    Yes No     Comments
Epilepsy    Yes No     Comments
Heart Trouble, Murmur    Yes No     Comments
Liver Trouble, Hepatitis    Yes No     Comments
Kidney Trouble    Yes No     Comments
Neurological or Muscular Disease    Yes No     Comments
Headaches, Migranes    Yes No     Comments
Dizziness    Yes No     Comments
Fainting    Yes No     Comments
Severe Concussion    Yes No     Comments
Heat Cramps, Exhaustion, or Stroke    Yes No     Comments
Spleen Injury    Yes No     Comments
Arthritis    Yes No     Comments
Allergies    Yes No     Comments
Allergies to Medication    Yes No     Comments
Allergies to Food    Yes No     Comments
Bee Sting Reaction - Medication    Yes No     Comments
Currently Taking Medication    Yes No     Comments
Recent Injuries    Yes No     Comments
Surguries - List Dates    Yes No     Comments
Incompletely Healed Injuries    Yes No     Comments
Do You Need Protective Devices?    Yes No     Comments

Insurance Information

Medical Insurance Company
Telephone  (  )  - 
Plan/Group Number
Identification Number
Special Medical Conditions

Emergency Contact

First Name
Last Name
Relationship
Daytime Telephone  (  )  - 
Evening Telephone  (  )  - 

  

Payment Information