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MERRIMACK FIELD HOCKEY CLINIC S UNDAY APRIL 28 TH , 2013 9:00 A.M. TO 1:00 P.M.

ANNE ROUNCE HEAD FIELD HOCKEY COACH - MERRIMACK COLLEGE Anne Rounce, a 2007 Merrimack graduate, recently completed her fifth season as head coach with another historic campaign. The Warriors posted a 174 overall record last fall and clinched their second consecutive Northeast-10 Conference Regular Season crown, as well as a second consecutive trip to the NCAA Final Four. Rounce was recognized as the 2011 NFHCA Division II Field Hockey Coach of the Year along with the NE-10 Coach of the Year award. In Rounce’s coaching tenure, she has coached seven All Americans, one NE-10 Player of the Year, two NE-10 Goalkeepers of the Year, one NE-10 Co-Rookie of the Year, 19 All-Conference Selections, 11 All-Rookie selections and numerous athletes who have earned the NFHCA Academic Award.

Child’s Name _______________________________________________________________________________________ Age ______ D.O.B. _______________ Height ____________

Years of Experience __________________________

Address ___________________________________________________________________________________________ City _______________________________________________

State __________

Zip _____________

Home telephone _____________________________________ Email _________________________________________ T-Shirt size (circle one):

S

M

L XL

Position (circle one):

Offense

Defense

Goalie

PLEASE MAIL COMPLETED FORM TO: ATTN: FIELD HOCKEY /ATHLETICS, Merrimack College, 315 Turnpike Street, North Andover, MA 01845 Ple as e m ake che c k s p a y a b l e t o M e r r im a c k F ie l d H oc key

FOR MORE INFORMATION, PLEASE CALL 978-837-5988.

Waiver of Liability In signing this form I release Merrimack College, the Merrimack College Women’s Field Hockey program, its organizers, coaches, trainers, players and all others involved in any capacity in the operation of the Merrimack College Field Hockey Clinic from any claims of legal responsibility for injuries or damages suffered by my child arising out of her participation in said field hockey clinic. I acknowledge the risks inherent in the participation of this athletic event and I knowingly assume all such risks on behalf of my child, including but not limited to injuries for which negligence is, or may be, a contributing factor. I certify that my child is in good physical condition and can participate in the Merrimack College Field Hockey Clinic. Parent’s Guardian’s Name: ________________

Parent’s/Guardian’s Signature: ________________

Insurance Company:

Insurance Policy #:

________________

Emergency Contact Number:

________________

________________

Emergency Contact Name:________________

Date: ______

WWW.MERRIMACKATHLETICS.COM

315 TURNPIKE STREET NORTH ANDOVER, MA 01845

Equipment: Attendees should bring necessary practice gear, including stick, goggles, mouth guard, shinguards and waterbottle. Goaltenders should bring their own equipment. Staff: The girls will receive direct teaching from the Merrimack College field hockey coaching staff, along with members of the Warrior team, who play in the highly competitive Northeast-10 Conference. Goal: The goal of the clinic is to provide intensive instruction on the fundamentals and techniques that lend itself to a successful field hockey player by concentrating on offensive and defensive skills, and applying them in real game situations.

S UNDAY A PRIL 28 TH , 2013 9:00 A . M . - 1:00 P . M . M ERRIMACK F IELD H OCKEY C LINIC

Cost: $50 Per Person Groups of 10 or more receive $10 off Reservations received on a first come/first serve basis. • Rain or shine • Free t-shirt for all participants

MERRIMACK FIELD HOCKEY SUMMER CLINIC FIRST CLASS U.S. POSTAGE PAID PERMIT 105 LAWRENCE, MA