February 18th, 2018
RASKA WESLEYAN TRACK & FIELD CLINI B E N C
February 18th, 2018
The goal of the clinic is to provide quality instruction from our coaching staff and top high school coaches to each and every athlete. The fundamentals as well as the more technical aspects of the events listed below will be emphasized. The clinic will provide a fun, positive experience that each camper will remember and utilize for years to come. Cost: $25 per athlete, coaches may attend for free. (Please make checks payable to NWU Track & Field) Location & Time: The clinic will be held at NWU’s Weary Center on the Indoor Track from 1:00-4:00 PM Eligibility: Girls and boys grades 9-12 Events: (please circle the events you will take part in ) SHOT PUT/DISCUS LONG JUMP/TRIPLE JUMP HIGH JUMP POLE VAULT SPRINTS HURDLES DISTANCE
(Please bring your indoor implements if available. )
(Please bring your own poles)
Nebraska Wesleyan Track & Field Clinic Registration Form Name__________________________________Email: ___________________________________ Street Address____________________________________________________________________ City____________________ State___________________________________________________ Zip_____________________ Home Ph. #_____________________________________________ Graduation Date__________ Age______ Events_______________________________________ School________________________ Best Performances_______________________________ Parents’ Names___________________________________________________________________ Contact in case of emergency________________________________________________________ Phone__________________________________________________________________________ Please note any medical problems we should be aware of : _______________________________ _______________________________________________________________________________ Waiver and Release Form: In consideration of acceptance for registration, I waive and release any and all rights and claims for damages I may have against Nebraska Wesleyan University or its representatives for any damages that may be sustained and suffered by me in connection with my association in this camp, and which may arise out of my traveling to, participating in, or returning from camps __________________________________________ Parent or Guardian signature Name of Insurance Company_______________________________________________________ Company Address________________________________________________________________ Policy Number___________________________________________________________________ Policy Owner____________________________________________________________________ For more information please call Derek Frese at 402-465-7767 or email [email protected]. Derek Frese Please return with payment to: Nebraska Wesleyan University by Feb. 15th 5000 St. Paul Ave Lincoln, NE. 68506
February 18th, 2018
The goal of the clinic is to provide quality instruction from our coaching staff and top high school coaches to each and every athlete. The fundamentals as well as the more technical aspects of the events listed below will be emphasized. The clinic will provide a fun, positive experience that each camper will remember and utilize for years to come. Cost: $25 per athlete, coaches may attend for free. (Please make checks payable to NWU Track & Field) Location & Time: The clinic will be held at NWU’s Weary Center on the Indoor Track from 1:00-4:00 PM Eligibility: Girls and boys grades 9-12 Events: (please circle the events you will take part in ) SHOT PUT/DISCUS LONG JUMP/TRIPLE JUMP HIGH JUMP POLE VAULT SPRINTS HURDLES DISTANCE
(Please bring your indoor implements if available. )
(Please bring your own poles)
Nebraska Wesleyan Track & Field Clinic Registration Form Name__________________________________Email: ___________________________________ Street Address____________________________________________________________________ City____________________ State___________________________________________________ Zip_____________________ Home Ph. #_____________________________________________ Graduation Date__________ Age______ Events_______________________________________ School________________________ Best Performances_______________________________ Parents’ Names___________________________________________________________________ Contact in case of emergency________________________________________________________ Phone__________________________________________________________________________ Please note any medical problems we should be aware of : _______________________________ _______________________________________________________________________________ Waiver and Release Form: In consideration of acceptance for registration, I waive and release any and all rights and claims for damages I may have against Nebraska Wesleyan University or its representatives for any damages that may be sustained and suffered by me in connection with my association in this camp, and which may arise out of my traveling to, participating in, or returning from camps __________________________________________ Parent or Guardian signature Name of Insurance Company_______________________________________________________ Company Address________________________________________________________________ Policy Number___________________________________________________________________ Policy Owner____________________________________________________________________ For more information please call Derek Frese at 402-465-7767 or email [email protected]. Derek Frese Please return with payment to: Nebraska Wesleyan University by Feb. 15th 5000 St. Paul Ave Lincoln, NE. 68506
