National Girls and Women in Sports Day Clinic

The National Girls and Women in Sports Day Sports and Recreation Clinic will take place on Saturday, February 22, 2014.

(Pre-registration by Thursday, February 20th is appreciated)

Sports & Recreation Clinic for girls ages 6 to 14!

Registration fee is $10 per participant and includes a t-shirt and a water bottle.

* indicates a required field.

       
* Participant's Name:  
* Age:  
* Address:  
* City:  
* State:  
* Zip:  
* School:  
  How did you hear about the event?  
  If other, please specify:  
* Parent/Gaurdian Name:  
* Contact Phone for That Day:  
* Contact email address:  
Please number your Top 3 Choices from the sport/activity options listed below in each time slot. Every effort will be made to accommodate your top choice in each session - however, we cannot guarantee placement.
* 2:30 - 3:15 PM Rock Climbing (full)
Table Tennis
Hip Hop
Yoga
Track & Field/X-Country
Basketball
Lacrosse
Soccer
Martial Arts
Fitness Fun
Zumba
 
* In what order would you prefer to do these activities? (Please type sport names with a 1, 2, and 3 next to them)  
* 3:30 - 4:15 PM Rock Climbing (full)
Hip Hop
Yoga
Volleyball
Soccer
Lacrosse
Track & Field/X-Country
Table Tennis
Martial Arts
Fitness Fun
Zumba
 
* In what order would you prefer to do these activities? (Please type sport names with a 1, 2, and 3 next to them)  
* 4:30 - 5:15 PM Rock Climbing (full)
Soccer
Hip Hop
Table Tennis
Volleyball
Yoga
Swimming/H20 Sports (full)
Track & Field
Martial Arts
Fitness Fun
Zumba
Lacrosse
 
* In what order would you prefer to do these activities? (Please type sport names with a 1, 2, and 3 next to them)  

As a parent/guardian of the child named above, I agree to the following:

* 1. Permission to Participate, Assumption of Risk and Release (see full description below) I Agree  
I hereby give my permission for my child to participate in this clinic. I am fully aware of the risks and hazards connected with participating in this activity and in participating in sports and recreation, generally. I understand that these risks include, but are not limited to, tripping, falling, colliding with objects or other participants, loss of consciousness, lacerations, serious neck and spinal injuries, complete or partial paralysis, serious injury to all bones, joints, ligaments, muscles, tendons, and other aspects of the musculoskeletal system, concussions and even death. I also acknowledge that the facilities of Westminster College, including but not limited to, the Fieldhouse, Studio, Payne Gym, Studio, and Climbing wall contain inherent risks of injury. I voluntarily allow my child to participate in this activity, even though I know such activity may be hazardous for my child. I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISKS OF LOSS, PROPERTY DAMAGE OR PERSONAL INJURY, INCLUDING DEATH, that may be sustained by my child, or any loss or damage to property owned by my child, which may result, directly or indirectly, from my child's participation in the activity, and I hereby RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE Westminster College, its trustees, officers, servants, agents, employees, or volunteers ("College") from any and all liability, claims, demands, actions and casues of action arising out or related to any loss, damage, or injury, including death, that may be sustained by my child or to any property belonging to my child while participating in the activity, on College premises, using College equipment or using College facilities, unless any such damage or injury is primarily the direct result of negligence of intentional misconduct of Westminster College, its officers, employees or volunteers.
* 2. Health Condition (see full description below) I Agree  
I certify my child and that my child has no medical health conditions that would prevent or hinder my child's participation in this clinic.
* 3. Medical Treatment (see full description below) I Agree  
I understand the College will not have medical personnel present at the clinic. I hereby grant the College permission to authorize emergency medical treatment for my child, if necessary, and I understand and agree the College assumes no responsibility for any injury or damage that may arise from medical treatment. I certify that my child has adequate health insurance and/or that I will pay for any medical costs that may arise directly or indirectly from participating in this clinic.
* 4. Misconduct (see full description below) I Agree  
I understand and agree that my child may be dismissed from the clinic for misconduct, as determined by a clinic administrator. Should that occur, I agree to pick up my child immediately and I understand and agree that no fees shall be refunded. I release the College from any liability should my child leave the College property without the permission or knowledge of College employees or agents.
* 5. Photo Release (see full description below) I Agree  
I understand and agree that pictures of my child may be taken during camp and I hereby permit the College to use pictures of my child to promote the College, its programs and activities.
* 6. Jurisdiction (see full description below) I Agree  
I agree the laws of the State of Utah shall govern this Agreement.
* Please provide your name again please:  
* By checking this box, I acknowledge this as my electronic signature of this Agreement. I Agree  
* I agree to the $10 registration fee:  
  If there are any special access needs and/or conditions that may relate to participation in this event, please describe them here:
 

After hitting Submit, you will be taken to a payment screen. You will be given the option to print a receipt/confirmation for your own records.

We are making an effort to get as many girls active as possible. Scholarships are available. Please contact Traci by email or at 801.832.2862 for more information.