Saturday, October 1 , 2016 - Sites

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Saturday, October 1st, 2016 WHEN: October 1st, 2016 – 9:00am-12:00pm

REGISTRATION/CHECK IN: 8:30am

WHERE: Five Star Stadium at Mercer University, Macon, GA WHO: High School graduation classes of 2017, 2018, 2019, 2020 & 2021 COST: $75 per player (checks made payable to: Samantha Eustace Lacrosse, LLC.)

We hope that you are able to join us for our clinic! The clinic will be a great opportunity for High School & 8th grade girls to experience individual instruction from our current coaching staff and players of the Mercer University Women’s Lacrosse Team!

WHAT TO BRING: - Sneakers - Turfs/cleats - Stick - Goggles - Mouth guard - Water bottle GOALIES – required to bring their own equipment

Please detach form below and return to: Samantha Eustace Mercer University Women’s Lacrosse 1501 Mercer University Drive Macon, GA 31207 Checks made payable to: Samantha Eustace Lacrosse, LLC. WE WILL SEND A CONFIRMATION E-MAIL! -------------------------------------------------------------------------------------------------------------------------------

MERCER UNIVERSITY WOMEN’S LACROSSE CLINIC REGISTRATION FORM Name: __________________________________________________ Graduation Year: __________ Address: ________________________________________________________________________ Phone: _____________________ E-mail: ____________________________________________________________ School Name: ___________________________________ Club Team: ______________________ Position: ____________________ I hereby authorize the staff of Samantha Eustace Lacrosse, LLC. to act for me/my child in their best judgement in any emergency requiring medical attention. I hereby waive and release the clinic from any and all liability for injuries or illness incurred while at the clinic. ________________________________________ Signature of Parent or Legal Guardian

________________________ Date