February-April 2020 Defense/Passing and Hitting Clinics Hosted by Chris Lishko, AZ Sky 18 Gold Head Coach

Kingdom Courts (https://www.azsky.net) 11410 N. 19th Ave., Phoenix AZ 85029 Athletes to wear appropriate volleyball attire, and bring water bottles as needed.

It will be first come first serve for signups, spots will be limited.

Please contact Chris Lishko via text at 602-790-1627 or via email (chris.lishko@gmail.com) with the following details below (underneath the MEDICAL RELEASE APPROVAL) included to sign your daughter up or with any

questions. All players (USAV) MUST have signed waiver by parents. A snapshot of the filled out form works great via text or email. Please bring the signed forms to the clinics or drop off prior. The passing and defense clinic will be limited to the first 12 girls who sign up.

    

Date
Friday, February 28

Friday, March 13 Friday, April 10 Friday, April 17

Clinic Type Passing and Defense

Hitting
Passing and Defense Hitting
Passing and Defense Hitting
Passing and Defense Hitting

Time 5:30-7 pm 7-8:30 pm 5:30-7 pm 7-8:30 pm 5:30-7 pm 7-8:30 pm 5:30-7 pm 7-8:30 pm

                  

The clinics are $40 each (cash/Venmo (@Chris-Lishko)) for all players. If a player signs up for both clinics the same night, there is a discount ($35 per clinic ($70 total instead of $80)). If a player no-shows and I have not been

notified more than 24 hours in advance, you will still be expected to pay for the clinic to help cover costs.

MEDICAL RELEASE APPROVAL

I give my daughter _____________________ permission to participate in the above activity (ies) Current club team and level __________, Years played club volleyball _____,
Age as of Aug 31, 2020 _______
Best contact name ________________________ and number _______________________, Email ______________________________ Insurance Company ________________________, Policy/ID Number _____________________

I verify that my child has been checked by a licensed physician and is physically able to participate in the camps offered by Kingdom Courts. I hereby agree that I will not hold Kingdom Courts, Volley Heaven LLC, its director(s), or its contractors responsible for any loss, damages, or personal injury incurred as a result of participation. I hereby authorize the Directors of the activity to act for my child according to their best judgment in an emergency requiring medical attention. I agree to allow my child to be treated by a licensed physician (if necessary) and I will assume all costs related to such treatment. I authorize my insurance company to pay benefits and I also authorize the disclosure of medical information to my insurance company for the purpose of the claim.

 

PARENT/GUARDIAN SIGNATURE ____________________________DATE ____________