2021 Volleyball Multi-Skills Clinic

Email address *

The HCC Volleyball Multi-Skills Clinic is a two day event for girls going into grades 9 - 12 from 9:00 a.m. - 12:00 p.m. in the ARCC at HCC. The clinic goal is to develop and strengthen essential volleyball skills including passing, serving, setting, hitting, offensive/defensive systems, strategy and team bonding.

Cost of Clinic is $50/day or $80/both days

Participant's Full Name *

Participant's year entering high school for 2021-22 (FR, SO, JR, SR) *

Participant's volleyball experience *

Home address *

Birth Date *

Physician's name & telephone number *

Medications *

Immunizations up to date? *

Current Physical date *

List any medical conditions/allergies *

Parent/Guardian Full name *

Parent/Guardian email address *

Parent/Guardian Cell Phone # *

Parent/Guardian Signature *

By electronically signing this form you agree to the following: Waiver of liabilities for injuries: On behalf of the participant named above, his/her parents, guardians and heirs, I do hereby agree to assume the full risk of any injuries, including death, damages or loss which may be sustained by the participant named above as a result of participating in any and all activities connected with or associated with the HCC Volleyball Camp, and to release, hold harmless, indemnify and covenant not to sue Hagerstown Community College, the volleyball coaching staff, their agents, employees and volunteers for injuries, including death, damages or loss which may be sustained by the participant named above as a result of participating in any and all activities connected with or associated with the HCC Volleyball Camp. In the event of any injury to the participant named above, I will notify Hagerstown Community College Athletics Department immediately. I warrant that I am authorized to make the release and waiver indicated herein. Medical Emergency Transportation: In the event of an emergency, I give permission for my child to be transported by ambulance.

Date signed *

Check amount & date mailed *

Please make your check payable to : Hagerstown Community College - and mail to Hagerstown Community College, ATTN: Athletics Programs - Volleyball, 11400 Robinwood Drive, Hagerstown, MD 21742. Entries will be also be received on the first day of the clinic.

* required field