LOCATION: TIME: 9th -12th graders EQUIPMENT: COST:

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WIDENER WOMEN'S LACROSSE

SUMMER PROSPECT CLINIC  9th -12th graders 

TUESDAY JULY 18th LOCATION: Edith Dixon Field

COST:

$75

TIME: 1:00-5:30pm  EQUIPMENT: Sticks, Goggles,Turfs or Sneakers, Mouthguard *Can attend Widener University Summer Preview Day from 9:301:00pm

REGISTRATION: Mail registration and payment to Widener University Women's Lacrosse One University Place Chester, PA 19013

Summer Preview Day:

Includes; an admissions session, academic workshop, and student-led tour. Representatives from campus departments such as Student Life, Athletics, Co-op, the Honors Program, and various others will also be present. Registration will begin at 9:30 a.m. with the program starting at 10:00 a.m. FOR MORE INFORMATION AND REGISTRATION PLEASE VISIT WWW.WIDENER.EDU and search Summer Preview Day!

Player Registration & Waiver Form Name:__________________________ Position: _______________ Grad Yr____ Email Address:____________________________________ US Lacrosse Number____________________ Club Team______________ HS Team____________________________ Emergency Contact_______________________ Phone #______________________ As parent/guardian of the child named above, I understand the risks involved with my son/daughter participating in the Fall Prospect Clinic sponsored by Widener University. I verify that my son/daughter has had a physical recently and may participate in all the activities of the Summer Prospect Clinic. I verify that he/she has no physical impairments/disabilities that make him/her prone to injury. I understand and acknowledge that in the case of illness, accident or injury, my child will be evaluated by and receive medical treatment from emergency response personnel. I further agree that Widener University, its agents, students and employees, and the Widener University Lacrosse team, shall be held harmless for injury, death or damage to property that occurs while my child is participating in the clinic, except that which can be shown as negligence on the part of the University or its representatives. I acknowledge and understand that I am responsible for any and all bills for first aid, medical and emergency services for my child that result from any injury sustained while participating in the Summer Prospect Clinic. Parent/Guardian Signature: __________________________________ Date:_______________________ Please Print Above Name:________________________________________________________________ A member of the Widener University Athletic Training Staff will be on site during the clinic.