id staff
ID STAFF Todd Tumelty Head Coach, Men’s Soccer, Montclair State University 2011 NCAA Final Four 2012-2013 NCAA Elite 8 11 Consecutive NCAA Appearances National Diploma
Rob Chesney Asso. Director of Athletics, Montclair State University Asst. Coach, Men’s Soccer, Montclair State University Montclair State University Hall of Fame Member Maxx Wurzburger Asst. Coach, Men’s Soccer, Montclair State University Montclair State University First Team All-Conference Player Recruiting Coordinator USSF License
The Montclair State University Men’s Soccer Staff will be holding an ID camp for high school students. This is a great opportunity for players who are looking to play at the next level. You will receive a college level training session in the morning, and competitive games in the afternoon.
QUESTIONS - Please contact Coach Tumelty at 973-655-6791 or [email protected]
MONTCLAIR STATE UNIVERSITY ID CLINIC Please complete the registration form and waiver:
Name: ____________________________________ Address: __________________________ City: _______________________ State:_________ Zip: _________ E-mail:_________________________ Cell: ________________________
Emergency Contact: __________________________________ Relationship: ___________________ Club team: _________________________________ High School:___________________________ Grade in September 2018: __________ I, ________________________ understand that Montclair State University, its coaches, players, employees, and Clinic Staff (collectively “Montclair State University”), assume no responsibility or liability, direct or indirect with respect to my participation in the ID CLINIC at Montclair State conducted from Saturday, July 9, 2018 at Montclair State University, located in Essex County, New Jersey. I know that participating in the ID CLINIC is potentially hazardous. I should not enter and participate unless I am medically able and in good health. I agree to abide by any decision of an official or any representative, agent, or officer of Montclair State University relative to my ability to safely play. I assume all risks associated with participating in the ID CLINIC, including but not limited to, falls, contact with other participants, effects of the weather, and conditions of the field. I hereby release from and waive any claims against, Montclair State University and the ID CLINIC Staff resulting from my participation in the aforementioned ID CLINIC. I understand that, in exchange for my participation in the ID CLINIC, and by signing this Waiver, I am giving up the right to bring a claim of any kind against Montclair State University and high school soccer CLINIC directly or indirectly for conducting the ID CLINIC. I agree to abide by the rules of the ID CLINIC. I certify that I am or will be over the age of 18 as of June 9th, 2018.* ________________________
__________________________
Player Name (PRINT)
Player Signature
*If under 18 years of age parent’s signature required: _________________________
_________________________
Parents Name (PRINT)
Parents Signature
_____ day of ________, 2018
Please mail form, waiver and check for $75.00 payable to “Red Hawks Soccer Training LLC” to: Montclair State University Athletics Department. c/o Todd Tumelty Head Coach Men’s Soccer 1 Normal Avenue, Montclair, NJ 07043
QUESTIONS - Please contact Coach Wurzburger at 201-956-0335 or [email protected]
Rob Chesney Asso. Director of Athletics, Montclair State University Asst. Coach, Men’s Soccer, Montclair State University Montclair State University Hall of Fame Member Maxx Wurzburger Asst. Coach, Men’s Soccer, Montclair State University Montclair State University First Team All-Conference Player Recruiting Coordinator USSF License
The Montclair State University Men’s Soccer Staff will be holding an ID camp for high school students. This is a great opportunity for players who are looking to play at the next level. You will receive a college level training session in the morning, and competitive games in the afternoon.
QUESTIONS - Please contact Coach Tumelty at 973-655-6791 or [email protected]
MONTCLAIR STATE UNIVERSITY ID CLINIC Please complete the registration form and waiver:
Name: ____________________________________ Address: __________________________ City: _______________________ State:_________ Zip: _________ E-mail:_________________________ Cell: ________________________
Emergency Contact: __________________________________ Relationship: ___________________ Club team: _________________________________ High School:___________________________ Grade in September 2018: __________ I, ________________________ understand that Montclair State University, its coaches, players, employees, and Clinic Staff (collectively “Montclair State University”), assume no responsibility or liability, direct or indirect with respect to my participation in the ID CLINIC at Montclair State conducted from Saturday, July 9, 2018 at Montclair State University, located in Essex County, New Jersey. I know that participating in the ID CLINIC is potentially hazardous. I should not enter and participate unless I am medically able and in good health. I agree to abide by any decision of an official or any representative, agent, or officer of Montclair State University relative to my ability to safely play. I assume all risks associated with participating in the ID CLINIC, including but not limited to, falls, contact with other participants, effects of the weather, and conditions of the field. I hereby release from and waive any claims against, Montclair State University and the ID CLINIC Staff resulting from my participation in the aforementioned ID CLINIC. I understand that, in exchange for my participation in the ID CLINIC, and by signing this Waiver, I am giving up the right to bring a claim of any kind against Montclair State University and high school soccer CLINIC directly or indirectly for conducting the ID CLINIC. I agree to abide by the rules of the ID CLINIC. I certify that I am or will be over the age of 18 as of June 9th, 2018.* ________________________
__________________________
Player Name (PRINT)
Player Signature
*If under 18 years of age parent’s signature required: _________________________
_________________________
Parents Name (PRINT)
Parents Signature
_____ day of ________, 2018
Please mail form, waiver and check for $75.00 payable to “Red Hawks Soccer Training LLC” to: Montclair State University Athletics Department. c/o Todd Tumelty Head Coach Men’s Soccer 1 Normal Avenue, Montclair, NJ 07043
QUESTIONS - Please contact Coach Wurzburger at 201-956-0335 or [email protected]
