2019 WISSAHICKON HS

FALL FIELD CLINIC Sundays, September 8th – October 13th

The Wissahickon High School team is hosting a NEW and IMPROVED clinic for young field hockey players from grades 3rd through 8th. The clinic will provide instruction from Varsity-Level field hockey players and the Wissahickon Field Hockey Coach, Lucy Gil. Attendees can expect to learn new skills while having fun. This year we will host a tournament on Oct 13th where we will form teams and compete for prizes!

Where: Wissahickon High School Turf Field Dates: Sundays – September 8th thru October 13th Time: 1pm to 3pm Cost: $25 per clinic or $135 for all six clinics

To register, complete the attached form and send with payment to: Wissahickon Field Hockey 105 Augusta Drive, Blue Bell, Pennsylvania, 19422. Please make checks out to “Wissahickon Field Hockey.”

Questions can be directed to Hannah Havrilla ([email protected]), Meghan Reilly ([email protected]), and Grace ([email protected])

Items to Bring – Field ; shin guards; turf shoes or ; goggles; mouth guard; water bottle

In the event of inclement weather, please check the Wissahickon Field Hockey website for information regarding the clinic  www.wissahickonathletics.org FALL FIELD HOCKEY CLINIC Registration Form 2019

Player Name: Current Grade:

Circle Dates/s Attending –

Attending all 6 weeks September 8 September 15 September 22 September 29 October 6 October 13 I acknowledge and understand the risks inherent with the activities carried under this program. I agree to assume the risk that unexpected events may occur and result in loss, harm, injury or damage to property while my child is participating. I hereby agree to indemnify and hold harmless Wissahickon High School and any other persons connected to this event from any liability. I hereby approve of my child’s attendance at the Fall Field Hockey Clinics and certify that he/she is in good health and able to participate in the clinic. I authorize that the Directory act for me according to her best judgment in any emergency requiring medical attention. I understand, should emergency conditions arise, I will be contacted. I consent to the provision of emergency medical treatment to the extent that the treatment is necessary in the medical opinion of the doctor rendering treatment. Player Signature: Date: Player E-Mail Address:

Parent/Guardian Signature: Date: Parent/Guardian Cell Phone: Parent/Guardian E-Mail Address:

PHOTO RELEASE: I hereby grant Wissahickon Field Hockey permission to use my likeness in photographs and/or video in any and all of its publications, including websites and any and all other media, whether now known or hereafter existing, controlled by Wissahickon Field Hockey, in perpetuity, and for other use by the Wissahickon Field Hockey team. I will make no money or other claim against Wissahickon Field Hockey for the use of any such photographs and/or video.

Player Signature: Date: Parent/Guardian Signature: Date: