2017 KENMORE WEST SOFTBALL CLINIC
Presented by Head Coach Matt Chimera and Staff
Softball clinic for players ages 7-16
June 26, 27 & 28
Monday, Tuesday and Wednesday
9:00 AM – 2:00 PM
Instructions in hitting, throwing, fielding, base running, and sliding; individual instructions for all positions
SPECIAL THANKS TO Mr. Scott Brinkman and the Town of Towanda Youth, Parks and R Recreation Department
Clinic will be held at: Lincoln Park Diamonds 3 & 4, 1200 Parker Blvd. at Decatur Rd.
Town of Tonawanda 14223
CLINIC INFO
Dates: Monday JUNE 26, Tuesday 27, Wednesday 28
Time: 9:00AM-2:00PM
Place: Lincoln Park, 1200 Parker Blvd., Tonawanda, NY 14223 Diamonds 3 & 4
COST: $80 (INCLUDES CAMP T-SHIRT) MAKE CHECKS PAYABLE TO: KENMORE SOFTBALL
Pre-register by sending form and payment to Matt Chimera, 12 Deerhurst Park Blvd., Kenmore, NY 14217. You may also register online at or by calling Coach Chimera at 609-1854 or Coach Catalano at 361-3298.
Players will be separated by age and ability. All campers should bring their own glove, batting helmet, water bottle, and sweat pants for sliding.
We will have a full service concession stand for players who wish to buy lunch or players may bring their own.
REGISTRATION FORM AND PLAYER INFO
NAME: ______
ADDRESS: ______ZIP: ______
PARENT CELL: ______PLAYER CELL: ______
SCHOOL ______GRADE FALL 2017: ______
EMAIL ADDRESS: ______
POSITION #1: ______#2: ______#3: ______
T-SHIRT SIZE: ADULT XL_____ L______M_____ S______
YOUTH XL_____ L_____ M_____ S______
PLAYER RELEASE
The named participant has my permission to participate in the Kenmore West Softball Clinic. Upon the signing of this release form, I, and the named participant, understand the risks involved in the sport of softball. To the best of our knowledge, my daughter does not have any known illness or injury that may affect her or others at the clinic. I hereby state the Kenmore West High School, Lincoln Park, and the Kenmore West High School coaching staff is not responsible for any preexisting injury or sickness that occurs during the softball clinic. As a parent/guardian, I understand that in signing this release form, I am relieving the Kenmore West Coaching Staff from any liability in case of an injury. Also, I understand that upon any injury, the Kenmore West Coaching Staff will take in consideration the best care for my daughter. If contact with the undersigned is unsuccessful, I hereby give the Kenmore West Coaching Staff permission to render any medical treatment necessary. Also, I understand that any expense arising from an injury or illness is the parent/guardian responsibility.
______
SIGNATURE OF PARENT/GUARDIAN DATE
______
EMERGENCY CONTACT AN D PHONE NUMBER
______
INSURANCE COMPANY AND POLICY