SUNY Delhi Women's Soccer: Clinic Registration Form

Register for SUNY Delhi Women’s Soccer ID Clinic

Date: July 13, 2024 Check-In: 8:30 am - Clark Fieldhouse Lobby

Clinic Hours: 9:00 am – 3:30 pm Location: SUNY Delhi Turf – next to Clark Field House

Open to players entering 9th grade or up that are interested in playing at the collegiate level.

Details:

Cost: $80 per participant (Payment accepted on the day of the event by cash or check, made payable to “The College Foundation at Delhi”).

Registration Limit: 24 participants, with a maximum of 4 GK to provide each goalkeeper an opportunity to showcase themselves.

Lunch: Please bring your own lunch/snack; there will be a 30-minute break (12:00-12:30).

Registration Deadline: June 26, 2024. If you're looking to apply after the deadline, please reach out to Coach Ward directly to check for availability. All late registrations will have a late fee of $10.

For any questions or further information, please contact Coach Ward at wardzz@delhi.edu or by cell at (301)-697-38024

To guarantee correct t-shirt size, register by June 26, 2024

Email address *

Athletes First and Last Name *

Athletes Position *

(Max of Four Goalkeepers)

Athlete's Email Address *

Athlete's Phone Number *

Athletes Date of Birth *

Graduation Year *

Adult T-Shirt Size *

Interested Program of Study or Major *

High School *

Current Club

Parent/Guardian (Emergency Contact) First and Last Name *

Parent/Guardian (Emergency Contact) Relationship to Athlete *

Parent/Guardian (Emergency Contact) Phone Number *

Parent/Guardian (Emergency Contact) Email Address *

If there are any conditions that limit the child's ability to participate in all clinic drills, please give specific details and limitations below:

In addition to myself, I authorize the following individual(s) to pick up my athlete - please list name and relation to athlete.

Example Format (First Name, Last Name) (Relation to Athlete)

By signing below, I acknowledge that: *

1.) I am the parent/guardian of the above-named athlete, who wishes to participate in the clinic sponsored by SUNY Delhi. 2.) I herby give my permission to SUNY Delhi to allow my child to participate and that I agree to assume risk for all injuries suffered by my child as a result of participation in this clinic. 3.) I agree to indemnify and hold harmless SUNY Delhi, its employees, agents, and volunteers for any and all causes of action brought against SUNY Delhi which are commenced by third persons alleging injuries, property damage, or death arising from the acts of my child, whether negligent, malicious or intentional. 4.) In the case of an injury, I authorize the staff of SUNY Delhi to provide initial first aid. 5.) SUNY Delhi shall not be financially or otherwise liable for any care beyond providing initial first aid, regardless of whether additional services are covered by my insurance. 6.) I give permission for my child's picture to be used as marketing and/or for promotional use. Submit 7.) By signing above, I acknowledge that all information on this form is correct and I agree to all terms.

* required field