WILLIAM SMITH FIELD HOCKEY CLINIC Grades 9-12 April 15, 2018, 9:00am—3:00pm 8:30-9:00am: Check in, Winn-Seeley Gym 9:00am-12:00pm: Clinic, McCooey Field 12:30pm: Lunch for Athletes, Scandling Center, Faculty Dining Room 1:00pm: Admissions Information Session, Scandling Center, Faculty Dining Room (Parents Welcome)
1:30pm Q&A w/ Coaching Staff, Scandling Center, Faculty Dining Room (Parents Welcome) 2:00pm: Campus Tours (Parents Welcome) Cost: $40 (Lunch Included)
Questions? Contact Assistant Coach, Sophie Riskie
[email protected] or 315-781-3934
Please submit registration by April 6th
Submit registration, waiver & payment to: Sophie Riskie Assistant Field Hockey Coach William Smith College 300 Pulteney Street Geneva, NY 14456 Checks made payable to William Smith Field Hockey Registration & Waiver: Player Name:__________________________________________ ____ Age:_____ Graduation Year: ______________ High School:_______________________________________________ Club Team__________________________ ___ Mailing Address:__________________________________________________________________________________
Player Cell:____________________ Player Email: _____________________ _________________________________ Emergency Contact Name and Number:_______________________________________________________________ Primary Position:___________________
Secondary Position:___________________
Check all that you plan to participate in: Clinic ___
Lunch___
Information Sessions/Campus Tours ___
Waiver: I, the undersigned, as a parent(s) and guardian of ___________________________________, the mentioned child, a minor, ask that he/she be admitted to participate in a clinic at Hobart and William Smith Colleges further known as “The Colleges.” In consideration of such admission, I do hereby agree to release, discharge, and hold harmless “The Colleges,” its officers, agents, and employees of and from all causes, liabilities, damages, claims or demands whatsoever on account of injury or accident involving said minor arising out of their attendance at the clinic or in the course of competition and/or activities held in connection with said clinic.
Guardian Print Name: ____________________ Guardian Signature: _____________________ Cell phone #:______________ Player Signature:________________________
Date:__________________