Phillylacrosse.com, Posted 9/4/15
Registration is open for the second annual All-American Lacrosse Girls Lacrosse Fall Skill Development Clinic at Archnbishop Carroll High on Oct. 4.
Date: SUNDAY, October 4
Ages: Grades 1 to 12
Times: Ages 5 to 11, 11am-1pm; Ages 12 to 18, 1-3 p.m.
Location: Archbishop John Carroll High School, 211 Matsonford Rd, Wayne, PA 19087
Cost: $70 per participant
Coaches: Learn from Navy Head Coach and Haverford High grad Cindy Timchal– most wins in women’s lacrosse history. Coach Timchal has developed the ultimate clinic experience for lacrosse players that want to take their game to the next level. Learn though Cindy’s unique progression drills. Elite level lacrosse for all ages.
Also be coached by Navy assistant coach and Carroll grad Gabby Capuzzi (All American-Ohio State), assistant Josh Dionne (National Champion-Duke) & other college players and coaches.
Learn the latest techniques in stickwork, shooting, dodging, crease defense, individual defense and individual offense.
GOALKEEPER INSTRUCTION Academy with Natalie Wills — Assistant Goalie Coach at the University of Maryland and former Vanderbilt standout.
Email: info@allamericanlacrosse.com
Website: www.allamericanlacrosse.com
Checks Made Payable to: All American Lacrosse
Mail registration & check to: Girl’s Lacrosse Clinic, 55 Baldridge Rd. Annapolis, MD 21401
Registration form (copy and paste to print)
First Name:___________________________ Last Name:________________________ Age:__________ Date of Birth: ______________
Club Team: _______________________________________________ School:______________________________________
HS Graduation Year: 20____________ Position: circle one A M D GK
Players E-Mail (required): ________________________________________________________________________________________
Parents E-Mail (required): ________________________________________________________________________________________
Address: _________________________________________ City: ___________________ State: _____________ Zip:_______________
Home Phone: _____________________________________ Cell Phone: __________________________________________________
Medical Treatment Authorization
I/We, being the legal guardians of the above applicant, authorize the All American Girl’s Lacrosse Camp/Clinic and its agents permission to request medical treatment as necessary to insure the well being of the applicant. I
approve of my child’s attendance at the All American Girl’s Lacrosse Camp/Clinic and certify that she is in good health and able to participate I the program activities. I (am/am not) attaching a statement explaining special
physical limitation and/or required medication. Please indicate if your child suffers from allergies, asthma, diabetes, restricted activities, etc. In further consideration of the All American Girl’s Lacrosse Camp/Clinic accepting
this application, I/we hereby agree to save and indemnify and keep harmless the All American Girl’s Lacrosse Camp/Clinic, its agents, sponsors and employees against any and all liability, claims, judgments or demands for
damages arising as a result of injuries sustained by the applicant during or as a result of any course given the applicant of the All American Girl’s Lacrosse Camp/Clinic.
Player Signature: _________________________________________________________________ Date:_________________________
Parent or Guardian Signature: _______________________________________________________ Date:________________________
Emergency Contact: _______________________________________________________________ Phone #:_____________________
Health Insurance Carrier: ___________________________________________________________ Policy #:_____________________