space is limited! $100
Attention High School Field Hockey Athletes: Join us for a “preseason warm-up” on Sunday August 6th, 9am-1pm at Montclair State University! Our annual Summer Clinic is a great opportunity to get ready for preseason, learn new skills and work with the Montclair State field hockey coaching staff.
ATHLETES IN THE 2018, 2019, 2020 AND 2021 CLASSES
SPACE IS LIMITED!
$100
8:30-9:00AM:
9:00- 11:30AM:
11:30am-1:00pm
Check in at Sprague Field
SKILLS & DRILLS
Small games, scrimmages and individual feedback!
Field players: position specific skill stations with MSU coaches & current players
Goalkeepers: training with MSU GK coach and former Division I GK!
QUESTIONS- Please contact Coach O’Reilly 973-655 -6937 or [email protected]
Please complete the registration form and waiver: Name:________________________________ Address:_____________________________ City:_____________ State:_______ Zip:_________ Email:________________________________ Cell:___________________ High School: ___________________________
Club Team:
Year of Graduation: ___________ Position (indicate any that apply): GOALKEEPER
DEFENDER
MIDFIELDER
FORWARD
WAIVER INFORMATION: *In case of illness or accident, the individual shall have immediate and competent medical care. All such expenses will be billed to the individual’s family medical plan. I acknowledge that at the tournament, my child will participate in a sport that may involve, among other things, physical contact of my child’s body with other persons or objects, including the ground, and accept the risk that my child may sustain an injury. I specifically waive and release the Montclair State University Field Hockey Team, University, and Staff from liability for any claim for damages that I or any child may have for injuries or illness that my child may sustain at the tournament. Montclair State University and tournament staff is not responsible for personal belongings damaged by casualty, theft etc. In signing the application, the parents/guardians certify that their child is in good health with no chronic illness or abnormal tendencies. In the event of an emergency requiring medical care, I authorize the tournament staff, in its best judgment, deems necessary and appropriate treatment.
Insurance Carrier:____________________
Parent/Guardian Name (print):____________________
Insurance Policy Number:________________________
Parent/Guardian Signature______________________ Date:____________
EMERGENCY CONTACT INFORMATION: NAME:
Relationship:
Phone number:
Please return this completed form and check for $100 payable to “MSU Field Hockey” to: Eileen O’Reilly-Athletics Montclair State University 1 Normal Ave Montclair, NJ 07043 Questions—Please contact Coach O’Reilly at 973-655-6937 or [email protected]
ATHLETES IN THE 2018, 2019, 2020 AND 2021 CLASSES
SPACE IS LIMITED!
$100
8:30-9:00AM:
9:00- 11:30AM:
11:30am-1:00pm
Check in at Sprague Field
SKILLS & DRILLS
Small games, scrimmages and individual feedback!
Field players: position specific skill stations with MSU coaches & current players
Goalkeepers: training with MSU GK coach and former Division I GK!
QUESTIONS- Please contact Coach O’Reilly 973-655 -6937 or [email protected]
Please complete the registration form and waiver: Name:________________________________ Address:_____________________________ City:_____________ State:_______ Zip:_________ Email:________________________________ Cell:___________________ High School: ___________________________
Club Team:
Year of Graduation: ___________ Position (indicate any that apply): GOALKEEPER
DEFENDER
MIDFIELDER
FORWARD
WAIVER INFORMATION: *In case of illness or accident, the individual shall have immediate and competent medical care. All such expenses will be billed to the individual’s family medical plan. I acknowledge that at the tournament, my child will participate in a sport that may involve, among other things, physical contact of my child’s body with other persons or objects, including the ground, and accept the risk that my child may sustain an injury. I specifically waive and release the Montclair State University Field Hockey Team, University, and Staff from liability for any claim for damages that I or any child may have for injuries or illness that my child may sustain at the tournament. Montclair State University and tournament staff is not responsible for personal belongings damaged by casualty, theft etc. In signing the application, the parents/guardians certify that their child is in good health with no chronic illness or abnormal tendencies. In the event of an emergency requiring medical care, I authorize the tournament staff, in its best judgment, deems necessary and appropriate treatment.
Insurance Carrier:____________________
Parent/Guardian Name (print):____________________
Insurance Policy Number:________________________
Parent/Guardian Signature______________________ Date:____________
EMERGENCY CONTACT INFORMATION: NAME:
Relationship:
Phone number:
Please return this completed form and check for $100 payable to “MSU Field Hockey” to: Eileen O’Reilly-Athletics Montclair State University 1 Normal Ave Montclair, NJ 07043 Questions—Please contact Coach O’Reilly at 973-655-6937 or [email protected]
