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