Adelphi University Girls Lacrosse Clinic
Adelphi University Girls Lacrosse Clinic About: This one-day clinic will focus on the development of skills in all areas of the game, including: catching, throwing, shooting, ground balls, cutting, defense and offense. Our main goal is to increase the level of play for each player in a fun learning environment. Players will be separated by age and skill level. This Clinic will be run by Head Coach Robert Grella (three-time All-American, NCAA Player of the Year and Division II Attackman of the Year) Assistant Coach Erica DeVito (Adelphi Woman’s Lacrosse Career Point Leader, four-time All-American and three-time National Champion) and players from the Adelphi Woman’s Lacrosse team. Date: Sunday, April 21 Time: 10:00am-12:00pm Open to: Girls from 3 grade through 8th grade rd
Location: Adelphi University - Motamed Field Registration Fee: $40 – Cash or Checks made payable to Adelphi Women’s Lacrosse Center for Recreation and Sport 1 South Avenue Garden City, NY. 11530 How to Register: 1) Fill out the application and mail it in or register online by clicking here 2) Mail in the $40 registration fee made payable to Adelphi Women’s Lacrosse 3) Fill out the Activity Waiver and bring it with you the day of the event For more information please contact: Erica DeVito - Assistant Coach – [email protected] Proceeds go to the Adelphi Woman’s Lacrosse Program!!
Adelphi University Girls Lacrosse Clinic Player Registration Form -Participant Name _____________________________________________________________ -Participant Address _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ -Email Address _____________________________________________________________ -Phone Number _____________________________________________________________ -Grade _____________________________________________________________ -Emergency Contact Name _____________________________________________________________ -Emergency Contact Number _____________________________________________________________ Please return to: Adelphi Women’s Lacrosse Center for Recreation and Sport 1 South Ave. Garden City, N.Y. 11530
ADELPHI SPORTS CAMPS & CLINICS: ELECTIVE/VOLUNTARY ACTIVITY WAIVER NAME OF PARTICIPANT:__________________________ EVENT ATTENDING:__________________ Date of Birth: Month__________________Day_______Year__________ Acknowledgment of Risk, Safety Responsibilities and Indemnity Agreement Waiver: In consideration of being permitted to participate in the Adelphi University ______________ Camp/Clinic, hereinafter called “Activity”, I, for myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge, and covenant not to sue Adelphi University, its officers, employees, coaches, camp counselors, agents and other participants from liability for any and all claims including the negligence on the parts of Adelphi administrators, coaches and counselors resulting in personal injury, accidents or illnesses, including death, and property or severe economic loss arising from, but not limited to, participation at the camp and associated camp activities, my own actions, inactions, negligence of others, or condition of the premises or terrain. 1. Acknowledgement of Risks: Participation in the Activity carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. There may be other risks not known to us or not reasonably foreseeable at this time. The specific risks vary from one activity to another, but the risks range from minor injuries such as scratches, bruises, and sprains to major injuries such as eye injury or loss of sight, joint or back injuries, heart attacks, and concussions to catastrophic injuries including paralysis and death. 2 Safety: I agree that prior to participating and periodically during the outing, I will inspect the equipment, including personal protective equipment, and facilities I am using and if I believe anything is unsafe, I will immediately advise a Camp Counselor of such condition and refuse to participate. I will wear proper safety apparel at all times while participating in this Activity. Indemnity and Hold Harmless I have read the previous paragraphs and I know, understand, and appreciate these and other risks that are inherent in the Activity. I hereby assert that my participation is voluntary and that I knowingly assume all risk of participation and accept personal responsibility for the damages following any injury, permanent disability or death and agree not to bring suit against the Adelphi University, its officers, employees, coaches, camp counselors, agents and other participants. I also agree to INDEMNIFY AND HOLD Adelphi University, its officers, employees, agents, coaches, counselors and other participants HARMLESS from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney’s fees brought as a result of my involvement in the Activity and to reimburse them for any such expenses incurred. Severability: The undersigned further expressly agrees that the foregoing waiver and assumption of risks agreement is intended to be as broad and inclusive as is permitted by the law of the State of New York and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. Acknowledgment of Understanding: I have read this waiver of liability, assumption of risk, and indemnity agreement, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I acknowledge that I am signing the agreement freely and voluntarily, and intend by my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law. ______________________________________ Signature of Parent of Minor Date
______________________________________ Signature of Participant Date
Return to: Adelphi University Athletics Center for Recreation and Sport 1 South Ave Garden City, NY 11530 Or fax to:
(516)-877-4237
Location: Adelphi University - Motamed Field Registration Fee: $40 – Cash or Checks made payable to Adelphi Women’s Lacrosse Center for Recreation and Sport 1 South Avenue Garden City, NY. 11530 How to Register: 1) Fill out the application and mail it in or register online by clicking here 2) Mail in the $40 registration fee made payable to Adelphi Women’s Lacrosse 3) Fill out the Activity Waiver and bring it with you the day of the event For more information please contact: Erica DeVito - Assistant Coach – [email protected] Proceeds go to the Adelphi Woman’s Lacrosse Program!!
Adelphi University Girls Lacrosse Clinic Player Registration Form -Participant Name _____________________________________________________________ -Participant Address _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ -Email Address _____________________________________________________________ -Phone Number _____________________________________________________________ -Grade _____________________________________________________________ -Emergency Contact Name _____________________________________________________________ -Emergency Contact Number _____________________________________________________________ Please return to: Adelphi Women’s Lacrosse Center for Recreation and Sport 1 South Ave. Garden City, N.Y. 11530
ADELPHI SPORTS CAMPS & CLINICS: ELECTIVE/VOLUNTARY ACTIVITY WAIVER NAME OF PARTICIPANT:__________________________ EVENT ATTENDING:__________________ Date of Birth: Month__________________Day_______Year__________ Acknowledgment of Risk, Safety Responsibilities and Indemnity Agreement Waiver: In consideration of being permitted to participate in the Adelphi University ______________ Camp/Clinic, hereinafter called “Activity”, I, for myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge, and covenant not to sue Adelphi University, its officers, employees, coaches, camp counselors, agents and other participants from liability for any and all claims including the negligence on the parts of Adelphi administrators, coaches and counselors resulting in personal injury, accidents or illnesses, including death, and property or severe economic loss arising from, but not limited to, participation at the camp and associated camp activities, my own actions, inactions, negligence of others, or condition of the premises or terrain. 1. Acknowledgement of Risks: Participation in the Activity carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. There may be other risks not known to us or not reasonably foreseeable at this time. The specific risks vary from one activity to another, but the risks range from minor injuries such as scratches, bruises, and sprains to major injuries such as eye injury or loss of sight, joint or back injuries, heart attacks, and concussions to catastrophic injuries including paralysis and death. 2 Safety: I agree that prior to participating and periodically during the outing, I will inspect the equipment, including personal protective equipment, and facilities I am using and if I believe anything is unsafe, I will immediately advise a Camp Counselor of such condition and refuse to participate. I will wear proper safety apparel at all times while participating in this Activity. Indemnity and Hold Harmless I have read the previous paragraphs and I know, understand, and appreciate these and other risks that are inherent in the Activity. I hereby assert that my participation is voluntary and that I knowingly assume all risk of participation and accept personal responsibility for the damages following any injury, permanent disability or death and agree not to bring suit against the Adelphi University, its officers, employees, coaches, camp counselors, agents and other participants. I also agree to INDEMNIFY AND HOLD Adelphi University, its officers, employees, agents, coaches, counselors and other participants HARMLESS from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney’s fees brought as a result of my involvement in the Activity and to reimburse them for any such expenses incurred. Severability: The undersigned further expressly agrees that the foregoing waiver and assumption of risks agreement is intended to be as broad and inclusive as is permitted by the law of the State of New York and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. Acknowledgment of Understanding: I have read this waiver of liability, assumption of risk, and indemnity agreement, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I acknowledge that I am signing the agreement freely and voluntarily, and intend by my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law. ______________________________________ Signature of Parent of Minor Date
______________________________________ Signature of Participant Date
Return to: Adelphi University Athletics Center for Recreation and Sport 1 South Ave Garden City, NY 11530 Or fax to:
(516)-877-4237
