HITTERS

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HITTERS

HOOSIER HITTERS is a club organized for any and all boys and girls under the age of 12 who are interested in being part of the Indiana Volleyball Family! Hoosier Hitters consists of two informal volleyball clinics that will cover the basic fundamentals of the game with the Indiana players and coaches! Each clinic is conducted at University Gym, the official home of Indiana Volleyball!

—> CLINICS *Saturday, October 5th / 10:00 a.m.—12:00 p.m. *Saturday, November 2nd / 10:00 a.m.—12:00 p.m.

—> COST *$20.00/Participant - Membership fee covers two clinics, an official Hoosier Hitters t-shirt and free admission to IU Volleyball matches coinciding with clinic dates (10/5 vs. Ohio State & 11/2 vs. Minnesota)

—> ADDITIONAL INFORMATION *Early registration is strongly encouraged. Spots are limited to the first 80 registrations. *Deadline for registration is September 18th! *A confirmation email will be sent once registration is received and accepted.

—> MAILING ADDRESS *Please send the below form and a $20.00 check (Indiana University Volleyball) to: - IU Volleyball Hoosier Hitters (ATTN: Shane Wilkinson) 1001 East 17th Street / Bloomington, IN 47408 Return This Portion Only // One Form Per Participant // Please Write Legibly // Please Sign Below Waiver NAME: _____________________________________________________________________________________________________ ADDRESS: __________________________________________________________________________________________________ CITY: _______________________________

AGE (Fall, 2013) : ___________

GRADE (Fall, 2013) : _____________

EMERGENCY PHONE: (_____) _________________ EMERGENCY CONTACT & RELATIONSHIP: _____________________________ CONTACT EMAIL: ____________________________________________________________________________________________ YOUTH T-SHIRT SIZE (Circle) :

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I do hereby waive, release, and discharge IU Volleyball and respective staff, employees, and successors any and all rights and claims for damages resulting from injury of my person or property, which may be sustained or suffered by my connection with, my association with, or participation in or arising out of my traveling to or from Hoosier Hitter Clinics. We, the legal parents/guardians agree to the waiver and release, and we join therein: PARENT/GUARDIAN SIGNATURTE: ___________________________________________________________________

DATE: __________________________________