Volleyball Clinic 7th & 8th grade girls

RUTLAND RECREATION PRESENTS…

INSTRUCTIONAL VOLLEYBALL for
7TH & 8TH GRADE GIRLS

WHO:  WACHUSETT DISTRICT 7TH & 8TH GRADE GIRLS

WHAT:  Volleyball Instruction (all levels of play welcome)

WHERE:  GLENWOOD ELEMENTARY SCHOOL GYM

WHEN:  Wednesdays: 4/2, 4/9, 4/30, 5/14, 5/21, 5/28

    TIME:  6:00PM-7:30PM

COST:  $75/6 WEEKS and a T-Shirt

        INSTRUCTORS:  WRHS GIRL’S VARSITY VOLLEYBALL COACHES
        Mark Sutphen and Jen Burton.

SPACE IS LIMITED!!!!
To register:  complete and drop off or mail in the form below  (along with payment) to “Rutland Recreation”, 250 Main St., Rutland, MA  01543  (508)886-0048 no later than Monday, March 24, 2014 .  Check our website for any changes or updates.

NAME: ____________________________AGE: _____   GRADE: _____
ADDRESS:   ___________________________   TOWN: ___________
HOME PHONE:__________________   CELL PHONE: _______________
EMAIL ADDRESS: ___________________________________________                               
EMERGENCY CONTACT: _____________________________________
MEDICAL CONSIDERATIONS: _________________________________
T-Shirt Size:           SMALL   MEDIUM  LARGE   XTRA LARGE

I agree not to hold responsible the Rutland Recreation Commission; the Town of Rutland; the owners of the premises where the program is held; or any of the parties connected with the program for any injury or accident that may occur during the program.  I understand that if my child becomes a discipline problem, he/she will be dismissed from the program.  No money will be refunded.  I also grant permission for the Recreation Staff to seek medical care for my child in the event that a family member cannot be reached.  (All participants in any town recreation program must complete this waiver.)

SIGNATURE:   ___________________________________________________ DATE: _______