MASSACHUSETTS SOFTBALL ACADEMY WINTER
CLINIC STAFF KRISTI STEFANONI Head Coach-UMass 5th Season as Head CoachSeasons at UMass 12th Season at UMass Graduate of The University of Massachusetts in 2006 As a Player 3-Tme A-10 Champion 4-Time NCAA Tournament Appearances Super Regional Appearance As a Coach 5-Time A-10 Champions 5-Time NCAA Tournament Appearances
CHELSEA PLIMPTON Assistant Coach-UMass 2nd year at UMass Graduate of Fordham University, 2011 Previously Coached at Towson, Fordham and Marist Finished with a 40-16 Lifetime Record Ranks third in both career shutouts and strikeouts at Fordham
RONNIE GAJOWNIK Assistant Coach-UMass 1st year at UMass Graduated of The University of South Florida in 2015 Earned her Master’s degree from Liberty in 2017 Served as Graduate Assistant for the Liberty Softball Program Gold Medal winner as a member of Team USA in 2015 in the Pan Am Games Women’s Baseball Competition 2-Time All Conference team selection and NFCA All American Scholar-Athlete in 2014
Also assisting will be the 2018 UMass Softball Team
To ensure a quality player/coach ratio
NO WALK-IN REGISTRATIONS WILL BE ALLOWED REGISTRATION IS LIMITED AND WILL BE ACCEPTED ON A FIRST COME, FIRST SERVED BASIS!
REGISTER EARLY! Confirmation of Registration will be sent via email! This is the only confirmation that will be sent, so please be sure to check email for registration status. FEE IS NON-REFUNDABLE AFTER January 20, 2018 MAKE CHECKS PAYABLE TO:
Massachusetts Softball Academy Return form with FULL PAYMENT by 1/20/2018 to:
Kristi Stefanoni 322 River Drive Hadley, MA 01035 One registration form is needed per player. Questions? Please call Chelsea or Ronnie at 413-545-0038, or log onto www.umassathletics.com
7th Annual Winter GENERAL SKILLS CLINIC Hosted by the University of Massachusetts Head Softball Coach Kristi Stefanoni, her outstanding staff and the 2018 UMass Softball Team
MASSACHUSETTS SOFTBALL ACADEMY WINTER GENERAL SKILLS CLINIC-JANUARY 21, 2018 Massachusetts Softball Academy
Clinic Schedule
2018 Winter General Skills Clinic
**All Clinic participants will be provided lunch during the scheduled lunch break from 12:00pm-1:00pm
January 21, 2018 Boyden Gymnasium At the University of Massachusetts
This clinic is designed for athletes who desire intensive and in-depth instruction in the defensive skills of all positions as well as a detailed breakdown of all swing components. This is an excellent opportunity for the athletes to be instructed and evaluated by the UMass Softball Staff. Time:
9:00am-4:00pm
Location:
University of Massachusetts Boyden Gymnasium Boyden Building 131 Commonwealth Avenue The University of Massachusetts Amherst, MA 01003
Age:
12-18 years
Cost:
$150.00 $150.00 fee is non-refundable after January 20, 2018
Make check payable to:
Massachusetts Softball Academy Registration:
Participants must be Registered and paid in full by 01/21/2018.
On-Site Check-in takes place on Sunday January 21, 2018 from 8:15am –8:45am Attire:
T-Shirts, sweat pants, shorts, sweat shirt, a basic court shoe, a bat, and a glove are recommend ed. Catchers must bring their own catching gear if possible.
8:15am - 8:45am Registration-Boyden Gymnasium 8:45am
Introductions & Warm Up
9:00am-12:00pm
Positional Play Session I Break into defensive positions for skill instruction and drills
MEDICAL TREATIMENT AUTHORIZATION FORM Participant’s Name:_______________________________ Massachusetts Softball Academy Winter General Skills Clinic: Participants are automatically enrolled in Massachusetts Softball Academy insurance plan. Eligible covered expenses will be paid ONLY if they are in excess of other valid and collectible insurance. 1.
10:30am-11:00am Hitting Lecture 11:00am-12:00pm Hitting Stations I 12:00pm-1:00pm 1:00pm-2:30pm
LUNCH** with all campers and Staff
List any medical conditions that camp personnel should be aware of (use additional pages if necessary):
______________________________________________ ______________________________________________ 2.
List any medications currently taking:
Positional Play Session II Advanced Skills/Drills in Defensive Positions
______________________________________________
2:30pm-4:00pm
Hitting Stations II
In case of emergency please contact:
4:00pm
Clinic Ends-Dismissal of all participants
Name:_________________________________________
Winter Clinic Registration Form Registration Deadline: January 20, 2018
______________________________________________
__________________
__________________
Daytime Telephone
Evening Telephone
__________________________
________________
Name: _____________________________________
Name of Medical Insurance Co.
Telephone
Address:____________________________________
______________________________________________
City, State, Zip:______________________________ Phone:_____________________________________ Age on January 20, 2018:______________________ High School Graduation Year:___________________ Position(s):_______________________________
Insurance Policy Numbers _______________________, as parent or legal guardian of the participant named above, I do hereby authorize the director of the clinic and her subordinates, to seek any medical and/or surgical treatment which is reasonably thought to be necessary for the care of my child. The program director is authorized to provide medical treatment for my child, and I shall be fully responsible for honoring such costs. I also authorize the medical facility to release all information needed to complete insurance claims. I authorize insurance payment directly to the medical facility. _________________________________
Email:______________________________________
Signature (Parent or Guardian)
___________ Date
MASSACHUSETTS SOFTBALL ACADEMY PARTICIPANT RELEASE OF LIABILITY – PLEASE READ PRIOR TO SIGNING
PLEASE PRINT
Full Legal Name of Participant: First
Date of Birth:
MI
Participant’s S.S #:
-
-
Last
Year of Graduation:
Parents Name: Home Phone #: (
)
Parents Email:
Cell Phone #: (
)
Work Phone #: (
)
Participant’s Email:
Address: Street
School Name:
City
State
Zip
Position(s):
In consideration of being allowed to participate in any way in the Massachusetts Softball Academy or UMass Softball related events and activities, I, the Undersigned acknowledge, appreciate and agree that: Parents/Legal Guardian Must Initial: 1.
2. 3.
4.
1.the risk of injuries from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce the risk, the risk of serious injury does exist; and I KINOWLINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and I willingly agree to comply with the stated and customary terms and conditions for participation. If however I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and I, for myself and on the behalf of my heirs, assigns, personal representatives and the next of kin, HEREBY RELEASE INDEMNIFY AND HOLD HARMLESS THE MASSACHUSETTS SOFTBALL ACADEMY, the University of Massachusetts, UMass Athletic Department, UMass Softball Program players and coaches, their officers, officials, agents and/or employee’s, other participants, sponsoring agencies, sponsors, advertisers and if applicable, owners and lessors of premises used to conduct the event (“Releasees”). WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASSES OR OTHERWISE, to the fullest extent permitted by law
I HAVE READ THIS RELEASE OF LIABILITYAND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY DIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
Signature:
Date Signed:
FOR PARENTS/GUARDIANS OF PARTICIPANTS UNDER THE AGE OF 18 AT THE TIME OF REGISTRATION This is to certify that I, as parent/guardian with legal responsibility for the participant, do consent and agree to their release as provided above of all Releasees, and, for myself, my heirs, assign, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child’s involvement or participation in these program as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.
Signature:
Date Signed: *PLEASE NOTE: THIS FORM MUST BE RETURNED WITH THE CLINIC REGISTRATION FORM
