\2013 POLY PREP LATE SUMMER SQUASH CAMPS
Dear Squash Player,
The Poly Prep Squash Club is very excited to announce the late summer August Squash camps for intermediate and advanced level players ages 12-18 and we wanted to let you know that dates have been confirmed and would like to offer you a spot in the camp.
The camps will be for a maximum of 12 players per session. This will enable everyone to get some quality time on court and improve their game ready for the next season!
SIGN UP NOW to avoid disappointment.
Application form: 2013 Poly Prep Late Summer Squash Camps
This form is to be filled out by a parent.
Student’s name: ______________________________ AGE/DOB: ___/ day:___ Month:___ Year:______
Home Address: __________________________________________________________
__________________________________________________________
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Home Telephone : _____________________
Father’s Name : __________________________ E-mail:__________________________________
Tel. (father) : (m) _____________________ (w) ________________________
Mother’s Name : __________________________ E-mail:__________________________________
Tel. (mother) : (m) _____________________(w) ________________________
Special requirements :
________________________________________________________________________________
Payment and registration.
The student (above) would like to participate and reserve a place in the following 2013 Junior Poly Prep Summer Squash Camps:
Please Check Below:
Camp 1 : ______ August 12-15th 3PM-5:30PM $400
Camp 2 : ______ August 19-22nd 3PM-5:30PM $400
TOTAL $ ____________
All checks should be payable to ‘Poly Prep Country Day School’
And mail to:
The Squash Club at Poly Prep,
(Squash Solutions Summer Camps)
9216 Seventh Ave.
Brooklyn, NY 11228
If you have any questions please contact the Squash Club via email anytime at SquashClub@PolyPrep.org .
(The preferred method of communication is e-mail. Thank you.)
Agreement to Participate and Liability Waiver for Minors Participating in the 2013 Poly Prep Summer Squash Camp.
Agreement to Participate. All activities involve certain inherent risks. Regardless of the care taken, it is impossible to ensure the safety of all participants. Poly Prep’s ‘2013 Summer Squash Camp’ is a vigorous, cardiovascular activity requiring sustained game play, endurance, coordination and squash skill. While great care will be taken in conducting the event, it is unable to eliminate all risk from the activity.
It is possible for squash players to suffer common injuries such as cramps, muscle strains, and sprains. More serious, but less frequent injuries such as broken bones, cuts, contusions, heart attacks, strokes, paralysis, and death may also occur. These injuries, and others, may result from such incidents as (but not limited to) slips and falls, tripping, colliding with another player, heart-related illnesses, and stress placed on the cardio-vascular system.
All squash players are expected to follow these safety guidelines:
1. Wear proper footwear.
2. Be alert for unanticipated hazards on the court.
3. Do not crowd other players
4. Consume adequate liquids during your training.
5. Follow all instructions given by your coaches.
6. Wear protective eyewear at all times when on the court.
I agree to follow the preceding safely rules, all posted safety rules, and all rules common to the game of squash and squash training exercises. Further, I agree to report any unsafe practices, conditions, or equipment to Squash Solutions and Poly Prep school management.
I certify that I…
1) possess a sufficient degree of physical fitness to safely participate in the 2013 Poly Prep Summer Squash Camp.
2) understand that I am to discontinue playing squash and training for squash at any time I feel undue discomfort or stress, and
3) will indicate below any health-related conditions that might affect my ability to safely complete the 2013 Poly Prep Summer Squash Camp and I will verbally inform the coaches immediately.
Circle: Diabetes / Heart Problems / Seizures / Asthma / Other______________________________
I have read the preceding information and my questions have been answered. I know, understand, and appreciate the risks associated with playing and training for squash and I am voluntarily participating in the activities. In doing so I am assuming all of the inherent risks of the sport. I further understand that in the event of a medical emergency, management will call EMS to render assistance and that I will be financially responsible for any expenses involved.
________________________________ ____________________________________________
Signature of Participant Date Signature of Parent Date
Waiver of Liability: In consideration of being permitted to participate in the 2013 Poly Prep Summer Squash Camp, on behalf of myself, my family, my heirs, and my assigns, I hereby release Squash Solutions and Poly Prep school its agents, or employees, Poly Prep school and the Camp coaches from liability for injury, loss, or death to myself, while participating in the 2013 Poly Prep Summer Squash Camp or while in any way associated with participating on the Camp now or in the future, resulting from the ordinary negligence of Squash Solutions and its agents, or employees, Poly Prep school or the Camp coaches.
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Signature of Participant Date Signature of Parent Date
