2017 SUMMER CLINICS

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The purpose of co-curricular athletics is to develop values within our student population. Some of these values include: SPORTSMANSHIP LEADERSHIP DEDICATION COMMITMENT TEAMWORK RESPECT FOR AUTHORITY

2017 SUMMER CLINICS REGISTRATION DEADLINE: April 21, 2017

The athletic program at Waverly High School supports the academic mission of our school district. Athletic programs foster success later in life. Participation in high school athletics is often a predictor of future success in college, career and in society. Current research indicates students who participate in athletic programs tend to have higher grade point averages, better attendance records, lower dropout rates and fewer discipline problems than students in general. Keep up with Waverly Activities by visiting our new Website

www.waverlyactivities.com News & Announcements Team Schedules & Rosters Activity Schedules and Events Activity Forms and Policies & Much More

PAYMENT INSTRUCTIONS Payment must accompany registration form. Clinic fees will not be prorated. Refunds granted only for medical reason by written request OR clinic cancellation. MAKE CHECKS PAYABLE TO: School District 145 MAIL REGISTRATION AND CHECK TO: Waverly High School Athletic Clinics PO Box 426 Waverly, NE 68462 REGISTRATION DEADLINE: Friday, April 21st We cannot guarantee t-shirts for late registrations. Feel free to copy this registration form or call the high school office for additional forms. Forms can also be found on our activities website at www.waverlyactivities.com under the forms tab.

ALL 2017-2018 PHYSICAL EXAMS MUST BE COMPLETED AFTER MAY 1, 2017 Waverly Health Care Urgent Care & Family Practice is now partnering with School District #145; $10 will be donated back to Waverly Activities Department for each Waverly High School/Middle School Sports Physical conducted between May 1 - August 4. *Physicals are not required for summer clinics. Visit www.waverlyactivities.com for 2017-2018 athletic participation requirements.

REGISTRATION FORM - Due 4/21/17

2017 SUMMER ATHLETIC CLINICS

List each athlete and submit one (1) check payable to School District #145. T-shirt sizes available YS, YM , YL, AS, AM, AL, AXL.

Grades Entering in Fall 2017 Football @ WHS - Coach Tim Williams

Girls Soccer @ WMS - Coach Joel Fritz

CLINIC # 100

DATES 7/26 - 7/28

GRADES 4-6

TIMES 6-8 PM

FEE $35

CLINIC # 700

DATES 6/15-6/16

GRADES K-2

TIMES 9:30-10:30AM

FEE $25

101

7/26 - 7/28

7-8

6-8 PM

$35

701

6/15-6/16

3-5

9:30-11AM

$35

102

7/17 - 7/28 7/24 - 7/28

9-12

6-8 PM

$25

702

6/15-6/16

6-8

9:30-11AM

$35

T-shirt included

Boys Basketball @ WHS - Coach Ryan Reeder

T-Shirt Size

Fee

ATHLETE NAME

Clinic #

T-Shirt Size

Fee

ATHLETE NAME

Clinic #

T-Shirt Size

Fee

ATHLETE NAME

Clinic #

T-Shirt Size

Fee

ATHLETE NAME

Clinic #

T-Shirt Size

Fee

ATHLETE NAME

Clinic #

T-Shirt Size

Fee

ATHLETE NAME

Clinic #

T-Shirt Size

Fee

ATHLETE NAME

Clinic #

T-Shirt Size

Fee

Boys Soccer @ WMS - Coach Tim Williams

DATES

GRADES

TIMES

FEE

CLINIC #

DATES

GRADES

TIMES

FEE

200

5/30 - 6/1

3-4

9-10:30AM

$55

703

6/15-6/16

K-2

9:30-10:30AM

$25

201

5/30 - 6/1

5-6

9-10:30AM

$55

704

6/15-6/16

3-5

9:30-11AM

$35

202

5/30 - 6/1

7-8

9-10:30AM

$55

705

6/15-6/16

6-8

9:30-11AM

$35

203

5/30 - 6/1

9-12

10:45AM-12:45PM

$55

T-shirt included

T-Shirt included - bring a soccer ball

Boys & Girls Tennis @ Wayne Park - Coach Jordan Zimmerman

Girls Basketball @ WHS - Coach John Cockerill

DATES

GRADES

TIMES

FEE

CLINIC #

DATES

GRADES

TIMES

FEE

800

7/17 - 7/21

K-2

8:30-9:30AM

$40

204

5/30 - 6/1

3-4

1:15-2:45PM

$55

801

7/17 - 7/21

3-5

9:30-11AM

$40

205

5/30 - 6/1

5-6

1:15-2:45PM

$55

802

7/24 - 7/28

6-8

8:30-10AM

$70

206

5/30 - 6/1

7-8

1:15-2:45PM

$55

803

7/24 - 7/28

9-12

10-11:30AM

$70

207

5/30 - 6/1

CLINIC #

9-12

3-5PM

$55

T-shirt included. Guest Clinician Seth Harris.

T-shirt included

Baseball @ Lawson Park - Coach Kyle Parker

Boys Golf @ Crooked Creek - Coach Mike Cobelens

CLINIC #

DATES

GRADES

TIMES

FEE

CLINIC #

DATES

GRADES

TIMES

FEE

900

7/5 - 7/7

3-4

9:30-11AM

$50

300

6/12 - 6/13

7-12

8-11AM

$50

901

7/5 - 7/7

5-6

11:30AM-1PM

$50

902

7/5 - 7/7

7-8

1:30-3PM

$50

Price includes green fee and range balls.

CLINIC #

DATES

GRADES

TIMES

FEE

301

6/19 - 6/20

7-12

8-11AM

$50

Price includes green fee and range balls.

Girls Volleyball @ WHS - Coach Terri Neujahr

Track @ WHS - Coaches Ken Adkisson & Cody Gregory CLINIC #

DATES

GRADES

TIMES

FEE

1000

4/29

3-4

9:30-11AM

$20

1001

4/29

5-6

11AM - 12:30PM

$20

DATES

GRADES

TIMES

FEE

400

6/6 - 6/8

3-5

9:30-11AM

$40

401

6/6 - 6/8

6-8

9:30-11AM

$40

CLINIC #

DAYS

402

6/6 - 6/8

9

12-2:30PM

$50

n/a

403

7/5 - 7/7

10-12

9AM-12PM

$50

n/a

T-shirt included

n/a

Wrestling @ WHS - Coach Dan Davenport

n/a

CLINIC #

DATES

GRADES

TIMES

FEE

500

7/11 - 7/13

PreK-2

6-8PM

$40

501

7/10 - 7/13 6/5-6/29 M / TH

3-8

6-8PM 6:45-7:30AM OPEN MAT

$40 FREE

T-Shirt included K-8th

Softball @ WHS - Coach TBD CLINIC #

DATES

GRADES

TIMES

FEE

600

7/10 - 7/11

K-5

9-11AM

$40

601

7/10 - 7/11

6-9

9-11AM

$40

602

7/10 - 7/11

10-12

11:15AM-1:15PM

$40

Parent(s): Address:

T-shirt included

CLINIC #

9-12

TOTAL:

Baseball hat included

Girls Golf @ Crooked Creek - Coach Dan VanBibber

T-shirt included

Clinic #

T-Shirt included - bring a soccer ball

CLINIC #

n/a

ATHLETE NAME

Speed-Agility Camp/Summer Weight Lifting @ WHS

Emergency Phone Number:

GRADES

TIMES

FEE

M / T / TH

9-12 Girls

6:30-7:30AM

FREE

M / T / TH

10-12 Boys

7:30-8:30AM

FREE

M / T / TH

8-9 Boys

8:30-9:30AM

FREE

M / T / TH 8 Girls 8:30-9:30AM FREE Training dates are June 5 - Aug 3. No training from July 3-6.

Baseline ImPact Testing Requirements Student-athletes who need to take the Baseline ImPact Test are the following: All 9-12 high school football players; any incoming 7th, 9th, 11th, or transfer students; or anyone who sustained a concussion over the 20162017 school year. Our athletic trainer will be holding sessions on May 22-24, at Waverly High School. Each student-athlete is required to reserve a spot at one of the sessions. Session times and sign-up instructions will be sent via email to parents prior to testing dates. NOTE - Baseline ImPact Testing is not required for participation in summer clinics and/or speed/weight training. The above requirements apply to student-athetes planning on participating in Middle School or High School athletics during the 2017-2018 school year.

Email Address:

My child has permission to attend and participate in the above listed 2017 Waverly Summer Athletic Clinic(s). In signing this waiver, I hereby release Waverly High School, coaches and camp staff from all claims of injuries which may be sustained while attending any clinic.

Parent(s) Signature:

Date:

Please list any medical conditions or allergies (per child) that our camp staff should be aware of while your athlete is in attendance: