UNC-P Clinics Form
Clinic Staff Head Coach Ellen McGill took over the
Sign up for:
UNC Pembroke Volleyball program in
June 6th Hitting Clinic June 7th Passing/Setting Clinic June 8th Hitting Clinic June 9th Passing/Setting Clinic
January, 2015 after coming from Trinidad, CO, where she was at the reins for six years of a very successful program at Trinidad State Junior College. She also served a two-year stint
Price $25.00 $25.00 $25.00 $25.00
[email protected] Western Carolina Univ. (2008)
UNC PEMBROKE VOLLEYBALL CLINIC SERIES
as an assistant coach at Western Carolina. Virginia Intermont College (2006)
SUMMER 2016
Name
(910) 775-4117 Address
Assistant Coach Katie Rueffer joins UNC Pem-
City
State/Zip
broke after spending the last two seasons at Waldorf College in Iowa. Rueffer played four seasons (2010-13) at Elmhurst College where she helped lead the Bluejays to a cumulative 125-32 (.796) record, two conference regular season and tournament championships and three appearances in the NCAA Tournament, including a Final Four finish
Parent/Guardian Home Phone
Cell Phone
Email Address Age
Grade in Fall
in 2012. The Bluejays were a mainstay in the national rankings during each year of her collegiate career.
Position
Elmhurst College (2014)
[email protected] Emergency Contact/Number
(910) 775-4108
MEDICAL RELEASE: I hereby authorize the clinic staff to act for me, according to their best judgment, in any emergency requiring medical care for my daughter. I understand it is the responsibility of the player’s legal guardians to ensure that the player is healthy and has no physical problems which would prevent the her participation in clinic activities. I understand that my own medical coverage will be the primary coverage if any injury does occur. I further authorize any trainer or coaches to secure any and all medical treatment in the event that I can’t be contacted. I further authorize any attending physician to administer appropriate medical attention, which he/ she deem necessary, in the event of any accident, illness, or injury. I understand I am responsible for any and all cost of medical coverage and treatment provided not covered by insurance. I hereby release, waive, discharge any and all rights and claims for damages which may accrue against UNC Pembroke, its employees, officers, and coaching staff and team from any and all liability resulting from loss, injuries, illness and other damage including death which may be sustained by my child during the duration of the clinic. To the best of my knowledge my child is in good physical condition and I am not aware of any physical infirmity, which would place my child at risk while participating. _________________________________________________________________ PARENT OR GUARDIAN SIGNATURE __________________________ DATE
T-Shirt Size
Please make ALL CHECKS PAYABLE to: UNC PEMBROKE VOLLEYBALL *Attend at least 2 clinics to get UNC Pembroke Camp Shirt Amount of cash/checks enclosed: _______________
Send Registration Form and Medical/Liability Releases with check/cash payment in full to: University of North Carolina at Pembroke Athletic Department - Katie Rueffer One University Drive Pembroke, NC 28372-1510
ENGLISH E. JONES CENTER June 6th, 7th, 8th and 9th Positional Skills Clinic
5:30P.M.-7:30P.M.
$25 per Player per Clinic
UNC Pembroke Lady Braves Volleyball
UNC Pembroke Volleyball Players and Staff Welcome Students in the 6th-12th Grades