Grades 3-8

5pm-8pm 

This is a Helmet and Shoulder Pad Camp , Helmet and Shoulder pads required

Instruction provided by:

The Westlake HS Coaching staff

And

Past and Present Varsity players 

Application Form

Applicant Name                                              

Parent/Guardian Name                                   

Age                          DOB                        

Grade in Now                 

Address                                                   

City                         

Home #                    Work #                    

Cell# ______________

FEE: $160.00

Checks Payable to: Westlake Athletic Booster Club

Applications and payments should be sent to

Coach Rich Hennessy
Westlake Middle School
825 Westlake Drive
Thornwood NY 10594