Caldwell Pride Summer Lacrosse Clinic - League Athletics

  Caldwell  Pride   Summer  Lacrosse  Clinic   When:  July  15th-­‐18th   Where:  Essex  Valley  School     1  Henderson  Dr,  West  Caldwell,  NJ  07006   Time:  5:30pm-­‐8:00pm     Who:  2nd-­‐8th  Grade  Boys   Cost:  $115  per  player   Equipment  Needed:  Stick,  Gloves,  Helmet,  Mouth  Guard,   Shoulder  Pads,  Elbow  Pads,  Cleats,  Athletic  Supporter,  Water   Bottle.     The  main  purpose  of  the   Caldwell  Summer  Lacrosse   Clinic  is  to  let  the  players   have  fun  while  increasing   their  lacrosse  knowledge.  Our  staff  firmly  believes  that  learning   is  best  accomplished  through  positivity  and  a  fun  atmosphere.  At   our  4-­‐night  clinic  athletes  will  improve  their  lacrosse  and   teamwork  skills  through  various  games  and  activities.       Each  athlete  will  receive  a  pinney  for  the  sessions.    There  will  be  contests,  awards  and  giveaways  the   last  night  of  the  clinic.  Our  staff  includes  JCHS  coaches  who  have  an  extensive  lacrosse  background.   Current  and  former  players  from  the  JCHS  boy’s  team  will  also  be  on  staff  for  the  week.         As  the  parent  or  legal  guardian  of  the  child  named  below,  I   give  my  full  consent  and  approval  for  my  child  to  participate   in  the  sport  designated  below.     I  understand  that  there  are  certain  risks  of  injury  inherent  in   the  practice  and  play  of  this  sport,  as  well  as  in  traveling   and  other  related  activities  incidental  to  my  child’s   participation,  and  I  am  willing  to  assume  these  risks  on   behalf  of  my  child.  I  hereby  certify  that  my  child  is  fully   capable  of  participating  in  the  designated  sport  and  that  my   child  is  healthy  and  has  no  physical  or  mental  disabilities  or   infirmities  that  would  restrict  full  participation  in  these   activities,  except  as  listed  below.     In  addition  to  giving  my  full  consent  for  my  child’s   participation,  I  do  hereby  waiver,  release,  and  hold  harmless   the  organization  named  below,  its  officers,  coaches,  sponsors,   supervisors,  representatives  and  the  owner  of  the  athletic   field  f or  any  injury  that  may  be  suffered  by  my  child  in  the   normal  course  of  participation  in  the  designated  sport  and   activities  incidental  thereto,  whether  the  result  of  negligence   or  any  other  cause.     Parent/Guardian  Signature:__________________________  

Name  of  Athlete:______________________   Address:_______________________   Date  of  Birth:__________________   Phone  Number:_______________   US  Lacrosse  #:_________________   Emergency  Contact  Number:_______________   Any  Known  Physical  Limitations  (Asthma,   Allergies,  ETC):___________________________________     Please  mail  waiver/information  along  with   cash/check  to:     Nicholas  Esposito   588  Bloomfield  Ave  18B,   W.  Caldwell,  N.J.  07006