REGISTRATION FOR THE 2014 NGWSD CLINIC IS CLOSED


PARTICIPANT INFORMATION

First Name

Last Name

Age



T-Shirt Size (Youth & Adult Sizes)

Grade

Address

National Girls & Women in Sports Day
 

A day of FREE sports and nutrition for girls

Ages 8-12 at Virginia Commonwealth University beginning at 10:30 a.m.

February 22th at the Siegel Center, 1200 W. Broad St.

Day includes lunch and attendance at VCU Women’s Basketball vs St. Louis at 2 pm.

Each participant will receive three (3) complimentary tickets to the VCU Women's Basketball game at 2pm.
To purchase additional tickets at a discounted rate, visit vcuathletics.com/promos and use the code: NGWSD

SCHEDULE OF EVENTS
9:30 a.m. - Registration Opens 
10:30 a.m. - Welcome & VCU Team Introductions 
11 a.m. - Sports Activities 
12:15 p.m. - Nutrition Activity/Lunch (included)
1:45 p.m. - Watch the VCU Women's Basketball pregame warm-ups
2 p.m. - VCU Women's Basketball game vs. Saint Louis
4 p.m. - Autograph session with select players from VCU Women's Basketball team 

City

State

Zip Code

Contact Phone Number

PARENT/GUARDIAN INFORMATION

First Name

Last Name

Relationship to Participant

Address

City

State

Waiver and Release
In filing out this form, I attest and verify that my child has full knowledge of the risks involved with the sport associated with the camp he/she is attending. My child is phycially fit and sufficiently trained to participate in the camp. To the best of my knowledge, my child does not have any diseases or injuries that would medically prohibit him/her from participating in the camp. I do hereby release and forever discharge VCU, its agents, officers, instructors and employees from any responsbility or liability for recurrence of any pre-existing, any undisclosed injury or illness, or any personal injury or property damage sustained by my child during or because of camp participation. I also give permission for any emergency procedures that are deemed necessary for my child during camp.

Zip Code

Emergency Contact Phone Number

Email Address

Health Questions

Does the participant  have any allergies? If so, please list:

Does the participant have any injuries or conditions that may prevent full participation? If yes, please explain:

Does the participant need to take medication during the activites? If yes, please explain:

**By registering and/or participating in this event, the parent/guardian gives permission to VCU Athletics to use photos and/or videos from the event for external publication. 

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