Waterford Holiday Break Athletic Clinics
Waterford Holiday Break Athletic Clinics Below are descriptions of holiday break athletic clinics that will be ran through different high school athletic programs. The registration directions are below, and the registration form is located on the second page. Please fill out the registration form and submit to the proper school or person as listed. Waterford Mott Girls Basketball Clinic Dec. 22nd 9-12:00 at Mott’s Gym Cost: $25 Ages: Grades 4th-8th Please fill out the attached form and send this registration with check made out to Waterford Mott to Michelle Sklar 3835 W. Walton Blvd. Waterford, MI 48329 You can also fill out the registration form, and send to the above address or email to [email protected] and payment can be made at the door. Waterford Mott Boys Basketball Clinic Dec. 23rd 9-1:00pm at Mott’s Gym Cost: $30 Ages: Grades 3rd-8th Please fill out the attached form and send this registration with check made out to Waterford Mott to Mott Athletics Attn: Jeff Jayson (Mott Basketball) 1151 Scott Lake Rd. Waterford, MI 48328 You can also fill out the registration form, and send to the above address or email to [email protected] and payment can be made at the door. Waterford Mott Baseball Clinic Dec. 22nd 9-12 and Dec. 23rd 9-12 at Mott’s Gym Cost: $40 for both days, or $25 per day Ages: K-8 Please fill out the attached form and send this registration with check made out to Waterford Mott to Waterford Mott Athletics (Baseball) 1151 Scott Lake Rd. Waterford, MI 48328 Registration and payment is due to the Mott Athletic Office by Wednesday December 17th. Waterford Kettering Dance Clinic Dec. 29th 1:30-4:30pm at Kettering’s Gym Cost: $25 (t-shirt included) Ages: K-8 Please fill out the attached form and send this registration with check made out to Waterford Kettering to Waterford Kettering Athletics Attn: Heather Neal (Dance) 2800 Kettering Dr. Waterford, MI 48329 You can also fill out the registration form, and send to the above address or email to [email protected] and payment can be made at the door
Waterford Athletic Clinics- Registration Form Waterford Kettering High School: 248-674-0113, 2800 Kettering Dr. Waterford, MI 48329 Waterford Mott High School: 248-674-3847, 1151 Scott Lk. Rd. Waterford, MI 48328 Please fill out the registration sheet and return to the appropriate school or person as listed on the clinic description. Information about each Clinic is located on the first page. _____________________________________________________________________________________________ Participant’s: (Last Name) (First Name) (Date of Birth) (Grade)
_____________________________________________________________________________________________ Participant’s: (Street Address) (City) (State) (Zip Code)
____________________________________________________________________________________________ Parent\Guardian Name
_____________________________________________________________________________________________ Parent: (Street Address) (City) (State) (Zip Code)
_____________________________________________________________________________________________ (Home Phone) (Cell/Night Phone) (E-mail Address)
_____________________________________________________________________________________________ Emergency Contact 1: (Full Name) (Phone Number)
_____________________________________________________________________________________________ Emergency Contact 2: (Full Name) (Phone Number)
Clinic Name:_______________________________Clinic Location:______________________ Clinic Dates:_______________________________Clinic Times:______________________ Cost of Clinic:_______________Paid by:____________
Waterford Athletic Clinics- Registration Form Waterford Kettering High School: 248-674-0113, 2800 Kettering Dr. Waterford, MI 48329 Waterford Mott High School: 248-674-3847, 1151 Scott Lk. Rd. Waterford, MI 48328 Please fill out the registration sheet and return to the appropriate school or person as listed on the clinic description. Information about each Clinic is located on the first page. _____________________________________________________________________________________________ Participant’s: (Last Name) (First Name) (Date of Birth) (Grade)
_____________________________________________________________________________________________ Participant’s: (Street Address) (City) (State) (Zip Code)
____________________________________________________________________________________________ Parent\Guardian Name
_____________________________________________________________________________________________ Parent: (Street Address) (City) (State) (Zip Code)
_____________________________________________________________________________________________ (Home Phone) (Cell/Night Phone) (E-mail Address)
_____________________________________________________________________________________________ Emergency Contact 1: (Full Name) (Phone Number)
_____________________________________________________________________________________________ Emergency Contact 2: (Full Name) (Phone Number)
Clinic Name:_______________________________Clinic Location:______________________ Clinic Dates:_______________________________Clinic Times:______________________ Cost of Clinic:_______________Paid by:____________
