Youth Track and Field Nights Registration

FCHS Athletic Boosters Presents
Thursdays at the Track
Youth Night Details
Cost:
K-5 $25.00
6-8th $40.00
The purpose of the track and field
youth nights is to teach the basic
fundamentals of track and field and
to expose the youth of our area to
the sport. This clinic will provide
athletes with a positive environment
in which they can learn about the
sport of track and field and have fun.
Parents are encouraged to stay and
watch their child participate.
Participants who sign up before 6/15 will receive a camp
FALLS CHURCH
TRACK AND FIELD
YOUTH NIGHTS
t-shirt.
Please pay by cash, check or
money order:
Checks made payable to:
FCHS Boosters
c/o Track and Field
Contact Person: Coach Bobby Krause
Phone: (703)207-4043
Email: rlkrause@fcps.edu
In the case of inclement weather the
night may be cancelled. Please check
our team website for details.
7521 Jaguar Trail
Falls Church, VA 22042
Every Thursday Night From July 9th through
August 6th 2015
Kindergarden-5th Grade 6-7pm
6th-8th grade 7-8:15pm
Dwayne Scott:
Assistant Coach
Sprints, Long and Triple Jump
Johanna Roth
Former Division III Distance Runner,
SUNY Cortland
Assistant Coach: Distance
Mandissa Marshall
Assistant Coach: Pole Vault
Former NCAA Division 1 All– American,
George Mason University
Matthew Wingler
Assistant Coach
Strength and Conditioning
Craig Day
Assistant Coach
Shot put and Discus
Current FCHS Record Holder in Shot put
(53’11”)
Current Jaguar Athletes will also be assisting
Coaches.
July 30th and August 6th)
6:00-7:00pm
Kindergarten– 5th Grade
Fun games based on different track
and field events. Athletes will
challenge themselves to improve in
various track and field events.
7:00-8:15pm
6th Grade-8th Grade
Fun activities based on track and
field events. Athletes will compete
against others and try to improve
upon their personal performances
is various track and field events
7:00-8:15pm
(grades 6-8)
6pm-7pm
(grades k-5)
the two sessions
Signature of parent/guardian_____________________________________________ Date_____________________
and its staff have my authorization to provide treatment that a physicaian deems necessary for the well-being of my child.
in an emergency when I cannot be contacted to take my child to the emergency room of the nearest hospital, and the hospital
understand that in physical activity, such as in track and field, there is an inherent risk of injury. The school has my permission,
order to participate in the clnic, I agree to assume all risks and hold, Falls Church HS and the track and field staf harmless. I
I give permission for ____________________________ to participate in the track and field nights at Falls Church HS. I understand that in
Emergency Contact_________________________________ Phone _________________________________
(July 9th, July 16th, July 23rd,
Parent Phone #_____________________________Parent Email___________________________________
August.
City, State, Zip_____________________________________________Childs Shirt Size________________
Thursday Nights in July and
Address_______________________________________________________________________________________
Camp will meet on 5 consecutive
Please Check one of
Schedule
Name_____________________________________________ Grade (in Fall)____________________________
Bobby Krause
Head Coach
Former NCAA Division I Distance Runner,
George Mason University
Athlete Information
Coaching Staff: