HOLIDAY GOALKEEPER CLINIC
Friday, December 30, 2011
Registration due by: December 27, 2011
Held at Williams Field House on the campus of Oberlin College
Beginner Session: 9:00-11:00 a.m.
Intermediate Session: 11:30-2:30 p.m.
Advanced Session: 3:00-6:00 p.m.
Cost: $40.00 Beginners & $50.00 Intermediate & Advanced
REGISTRATION
Name:_____________________________________ DOB:___________ Email: ______________________
Address:___________________________________ City:___________________ State:_____ Zip: _______
Session (Beginner/Intermediate/Advanced): _____________________________________________________
Parent’s Name:______________________________ Home Phone:________________________________
Emergency Contact:__________________________ Emergency Phone:___________________________
Return Registration To:
Quick Hands Goalkeeper Training.
Make Checks Payable to: Quick Hands Goalkeeper Training
Waiver/Exclusion Clause:
I, the undersigned parent/guardian/participant of age, in enrolling for a class/league/camp/tournament, understand that in attending any sports program and using the facilities does so at participant’s own risk. Quick Hands Goalkeeper Training, its owner, employees and agents, shall not be liable for any damage what so ever arising from any personal injury or property loss sustained by participant and family on the premises. Participants, parents and guardians assume full responsibility for all injuries and damages which may occur in or about any programs on the premises and does hereby fully and forever release, discharge and hold harmless Quick Hands Goalkeeper Training, and all associated facilities and its owners, employees and agents from any and all claims, demands, damages, rights of action, present or future resulting from or arising out of any person’s participation in any program or use of its facilities. In addition, participant agrees to follow the rules of play and conduct set by Quick Hands Goalkeeper Training Participant, parent/guardian understands that failure to do so may result in suspension from participation. I, the undersigned parent of/ guardian of/ legal age participant _________________________________________do hereby grant authority to the staff of Quick Hands Goalkeeper Training to render a judgment concerning medical assistance or hospital care in the event of an accident or illness during my absence. Signed: _____________________________________
FOR MORE INFORMATION call 440-610-0610.
Directions to Oberlin College-Williams Field House:
http://www.mapquest.com/maps?city=Oberlin&state=OH&address=200+Woodland+Street+&zipcode=44074
Williams Field House is between the soccer and football stadiums