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Fall Soccer Skills Clinic

Sunday, September 22nd
Sponsored by:

1:30 4:00 PM Lower Meadow Soccer Fields, Whetstone Park Whetstone HS Girls Varsity Soccer Team (Reigning City Champs!)
Join the Whetstone High School Girls Varsity Soccer Team for its annual clinic for players Ages 5 through 10. This is a great opportunity for your son or daughter to learn new soccer skills and to fine-tune their current skills. Well have many instructional and fun drills and games separated by age groups, concluding with age-grouped scrimmages. What to bring: soccer cleats, shin guards, ball, water bottles, and a dark and light shirt for the scrimmages Fees: $15 per child for same day registration. OR $12 if you pre-register by noon September 21st Preregistration saves you money and assures your child will not be closed out of the Clinic. For discounted rates, drop the completed form and payment via check made payable to Whetstone Athletic Boosters in an envelope at the main desk at Whetstone Recreation Center by 12 noon, September 21st. Otherwise, bring this form and payment with you to the Clinic. Registration starts at 1pm, Clinic begins at 1:30pm.
Registration Form on back, for more information contact: Will OMalley at omalleywj@aol.com

Fall 2013 Soccer Skills Clinic Registration Form

Please complete entire form and print unless otherwise noted:

Player 1 name _______________________________________ Grade ______ Age ______ Player 2 name _______________________________________ Grade_______ Age ______ Player 3 name _______________________________________ Grade _______ Age _______ Parent(s) name _______________________________________________ Parent(s) phone numbers ________________________________________
NOTE: In the event that the Clinic cannot be held on the 22nd due to a serious thunderstorm, the Clinic will be rescheduled to September 29th.

EMERGENCY MEDICAL AUTHORIZATION AND LEGAL WAIVER

I hereby certify that I am the parent or legal guardian of _____________________________.

I give permission to the adult volunteers at the Whetstone High School Girls Soccer Clinic (Clinic) to seek appropriate medical attention and/or treatment in the event of an accident or injury or sudden illness. I recognize and agree that I will be responsible for the costs of such medical treatment or attention.

____________________________________________ ______________________________________________ ____________________ Parent/legal guardian signature Printed Name Date

I recognize and acknowledge that the Clinic is a fundraiser solely to benefit the Whetstone High School Girls Soccer Team, and all moneys received will be used for the Teams or the players benefit, for uses such as tournament fees, clinic fees, equipment, and uniforms. The Clinic is being run by the players and parent volunteers of the Team. The Clinic is not being sponsored, controlled, or supervised by the City of Columbus Recreation and Parks Department, the Columbus City Schools, or Whetstone High School. I, for myself, my child, and my heirs, hereby waive, release, and discharge the players and the parents who run, control, and/or supervise the Clinic from any and all liability, claims, damages, and actions arising out of or related to any loss, personal injury or property damage that may be sustained or occur during my childs participation in the Clinic.

____________________________________________ ______________________________________________ ____________________ Parent/legal guardian signature Printed Name Date For administrative use: Date received _____________ Amount paid __________________ Cash/check # ___________