Rutgers Summer Clinic
Rutgers Lacrosse Clinic –Summer 2016
Rutgers Summer Clinic Open to rising 9th – 12th and all skill levels Date: Wednesday- July 6th 2016 Cost $75 CHECK IN: 4:30-5pm F3 Turf Clinic: 5pm-8pm Please bring your own stick, goggles, mouth guard, goalie gear and water bottle Warmup Stickwork Stations Game Play
it e L L l E d n a r by B d e t n e s e Pr
Wednesday –July 6th Clinic Director- Laura Brand-Sias 14 seasons as Head Coach of Rutgers Lacrosse. Finished the 2016 season with a trip to the BIG10 Conference Championships
Directions- Rutgers F3 Turf - NJ 18 to Campus Road/Busch Campus - Follow Campus Road - Make first left onto Sutphen Road - Turf is on your left
C
Rutgers Girls Lacrosse Clinic
No spots will be reserved by phone or email.
Only by sending money and forms together will a player reserve a spot Each Player MUST fill out a registration form. + All forms must be submitted together with checks +
Please make checks payable to: Brand Elite L.L.C. Registration Deadline July 1st
CANCELLATION POLICY The entire fee is non-refundable. Medical withdrawals will be considered prior to 7/1/16 with supporting documents. Withdrawals after 7/1/16 will not be considered. For any questions, please contact: Women’s Lacrosse at (732) 445-8853 or [email protected] Name:_______________________________________________ Age:_____________ Phone# (_____)__________________________ Address:_______________________________________________ City:________________________ State:_______________________ HS School:_______________________________________________ Club:_______________________________________ HS Graduation Year:___________________ Years Played:__________________ Position:_____________________ Confirmation Email Address:_______________________________________________________________________________ Clinic Cost- $75: Amount Enclosed:____________________________ Checks payable to Brand Elite L.L.C. Rutgers Girls Lacrosse Clinic Waiver and Assumption of Risk I hereby request that you accept the application of ___________________________________ in the 2016 Rutgers Girls Lacrosse Summer Clinic during the date set forth in this application, I hereby release Brand Elite L.L.C and Rutgers University, and all their trustees, officers, employees, and agents, from any and all liability of claims relating to any injuries that may be sustained by the camper while attending the 2016 Rutgers Girls Lacrosse Clinic or any and all claims which may hereafter be presented by or on behalf of the participant (minor child) relating to such injuries. Such released claims for negligence, gross negligence or recklessness. Authorization for Medical Treatment and Release: In case of emergency, if any medical attention is required by my child I hereby give permission to Brand Elite L.L.C. staff and /or Rutgers to secure medical treatment and to act on my behalf according to their best judgment, and I hereby release Brand Elite L.L.C. and Rutgers University, and all their trustees, officers, employees, and agents, from any and all claims relating to the exercise of judgment. I further acknowledge that the above named individual is covered by heath insurance…
Date:_________________ Parent/Guardian Name:______________________________ Signature:________________________________ Health Insurance Carrier:___________________________________________ Group/Policy#:___________________________________ Emergency Contact:______________________________________________ Telephone #___________________________________________ Mail completed forms and checks to: Brand Elite LLC c/o Rutgers Women’s Lacrosse, Once Scarlet Knight way, Piscataway, NJ 08854
Rutgers Summer Clinic Open to rising 9th – 12th and all skill levels Date: Wednesday- July 6th 2016 Cost $75 CHECK IN: 4:30-5pm F3 Turf Clinic: 5pm-8pm Please bring your own stick, goggles, mouth guard, goalie gear and water bottle Warmup Stickwork Stations Game Play
it e L L l E d n a r by B d e t n e s e Pr
Wednesday –July 6th Clinic Director- Laura Brand-Sias 14 seasons as Head Coach of Rutgers Lacrosse. Finished the 2016 season with a trip to the BIG10 Conference Championships
Directions- Rutgers F3 Turf - NJ 18 to Campus Road/Busch Campus - Follow Campus Road - Make first left onto Sutphen Road - Turf is on your left
C
Rutgers Girls Lacrosse Clinic
No spots will be reserved by phone or email.
Only by sending money and forms together will a player reserve a spot Each Player MUST fill out a registration form. + All forms must be submitted together with checks +
Please make checks payable to: Brand Elite L.L.C. Registration Deadline July 1st
CANCELLATION POLICY The entire fee is non-refundable. Medical withdrawals will be considered prior to 7/1/16 with supporting documents. Withdrawals after 7/1/16 will not be considered. For any questions, please contact: Women’s Lacrosse at (732) 445-8853 or [email protected] Name:_______________________________________________ Age:_____________ Phone# (_____)__________________________ Address:_______________________________________________ City:________________________ State:_______________________ HS School:_______________________________________________ Club:_______________________________________ HS Graduation Year:___________________ Years Played:__________________ Position:_____________________ Confirmation Email Address:_______________________________________________________________________________ Clinic Cost- $75: Amount Enclosed:____________________________ Checks payable to Brand Elite L.L.C. Rutgers Girls Lacrosse Clinic Waiver and Assumption of Risk I hereby request that you accept the application of ___________________________________ in the 2016 Rutgers Girls Lacrosse Summer Clinic during the date set forth in this application, I hereby release Brand Elite L.L.C and Rutgers University, and all their trustees, officers, employees, and agents, from any and all liability of claims relating to any injuries that may be sustained by the camper while attending the 2016 Rutgers Girls Lacrosse Clinic or any and all claims which may hereafter be presented by or on behalf of the participant (minor child) relating to such injuries. Such released claims for negligence, gross negligence or recklessness. Authorization for Medical Treatment and Release: In case of emergency, if any medical attention is required by my child I hereby give permission to Brand Elite L.L.C. staff and /or Rutgers to secure medical treatment and to act on my behalf according to their best judgment, and I hereby release Brand Elite L.L.C. and Rutgers University, and all their trustees, officers, employees, and agents, from any and all claims relating to the exercise of judgment. I further acknowledge that the above named individual is covered by heath insurance…
Date:_________________ Parent/Guardian Name:______________________________ Signature:________________________________ Health Insurance Carrier:___________________________________________ Group/Policy#:___________________________________ Emergency Contact:______________________________________________ Telephone #___________________________________________ Mail completed forms and checks to: Brand Elite LLC c/o Rutgers Women’s Lacrosse, Once Scarlet Knight way, Piscataway, NJ 08854
