VASSAR LACROSSE Prospect Day
VASSAR LACROSSE Prospect Day Sunday, March 25th, 2018: 10:30 – 2:30 pm `
Weinberg Turf Field, Brewers Lane, Poughkeepsie NY
NAME PHONE ADDRESS
EMAIL SCHOOL AGE
CLUB TEAM GRADE
POSITION
PERSON TO CALL INCASE OF EMERGENCY: NAME RELATIONSHIP PHONE NUMBERS
PAYMENT: Please return registration form and fee of $60 for the Prospect Day (prospects will receive a numbered reversible jersey and post-clinic refreshments will be provided). Checks should be made payable to Vassar College and sent to: Judy Finerghty Vassar College, Box 750 124 Raymond Avenue Poughkeepsie, NY 12604 Or fax to: 845 / 437-7562. Or email: [email protected] LIABILITY WAIVER FOR CAMP PARTICIPATION: As a participant in the Girl’s Lacrosse Prospect Day at Vassar College, I agree and acknowledge that Trustees of Vassar, officers, agents or employees (the “College”), shall have any liability to the Vassar Girl’s Lacrosse Clinic as a result of any loss, injury or damage (including death) incurred or suffered by any participant in connection with such participation and use and I hereby expressly waive all rights, claims, causes of action and the like, of any nature whatsoever, which we may have against the College in connection with our participation in the
Lacrosse Clinic at Vassar College and our use of the College’s facilities in connection therewith. Guardian Date
Signature
Weinberg Turf Field, Brewers Lane, Poughkeepsie NY
NAME PHONE ADDRESS
EMAIL SCHOOL AGE
CLUB TEAM GRADE
POSITION
PERSON TO CALL INCASE OF EMERGENCY: NAME RELATIONSHIP PHONE NUMBERS
PAYMENT: Please return registration form and fee of $60 for the Prospect Day (prospects will receive a numbered reversible jersey and post-clinic refreshments will be provided). Checks should be made payable to Vassar College and sent to: Judy Finerghty Vassar College, Box 750 124 Raymond Avenue Poughkeepsie, NY 12604 Or fax to: 845 / 437-7562. Or email: [email protected] LIABILITY WAIVER FOR CAMP PARTICIPATION: As a participant in the Girl’s Lacrosse Prospect Day at Vassar College, I agree and acknowledge that Trustees of Vassar, officers, agents or employees (the “College”), shall have any liability to the Vassar Girl’s Lacrosse Clinic as a result of any loss, injury or damage (including death) incurred or suffered by any participant in connection with such participation and use and I hereby expressly waive all rights, claims, causes of action and the like, of any nature whatsoever, which we may have against the College in connection with our participation in the
Lacrosse Clinic at Vassar College and our use of the College’s facilities in connection therewith. Guardian Date
Signature
