HASTINGS RIVER DISTRICT
JUNIOR CRICKET ASSOCIATION
2012 SEPTEMBER HOLIDAYS COACHING CLINIC
Dates & Times: Tuesday 25th September 9.30am – 3.00pm
Wednesday 26th September 9.30am – 3.00pm
Reserve Date for
Wet Weather Thursday 27th September
Venue: Stuarts Park Nets, Port Macquarie
Age Groups: 9 – 13 years (as at 1/1/12) Born 1998 – 2002
Cost: $60 (For the two day clinic))
Coaches: Head Coach: Mervyn Bourke Level 2 Coach, North Coast Zone U/14 Coach, NSW Country Cricket 2008 Coach of the Year.
All other coaches are both experienced and accredited with some being former Sydney First Grade players.
What to bring: Lunch and drink bottle
Hat and sunscreen
Appropriate training clothes
Personal playing equipment (protector essential)
(A kit will be available with pads etc if required)
All players must be registered with clubs affiliated with the Hastings River District Junior Cricket Association. Numbers in this clinic are limited. No applications will be accepted after Monday 17th September. After forwarding your clinic application and levy assume you have been accepted and arrive at 9.15am on your first day. Only players who have not been accepted (if clinic maximum numbers have been reached) will be contacted and refunds given.
Further information please contact Mervyn Bourke 6585 1118 (AH) mob 0402599637
HASTINGS RIVER DISTRICT
JUNIOR CRICKET ASSOCIATION
2012 SEPTEMBER HOLIDAYS COACHING CLINIC
APPLICATION FORM
Players Name in Full ______
Age 1/1/12 ______years Phone No. ______
Address: ______
Club: ______Medicare No. ______
Email Address: ______(optional)
Any medical conditions that the coaching staff should be aware of:
______
______
______
I wish my son / daughter to attend the coaching clinic at Stuarts Park Nets, Port Macquarie on September 25th – 26th, 2012.
Risk warning, acknowledgement or risk and limitation of liability: I acknowledge that there is an inherent risk of personal injury in physical activities that may be undertaken as part of the Program, and that my child undertakes the activities at their own risk. I agree, to the extent permitted by law, the Organiser (Hastings River District Junior Cricket Association) does not accept liability in respect of personal injury to my child resulting from recreational services provided by the Organiser.
Medical treatment: In an emergency, if it is not reasonably practicable to obtain my authority in the circumstances, I authorise the Organiser or its staff to arrange for my child to receive such medical or surgical treatment as may be deemed necessary in the circumstances.
Publicity statement: Photographs may be taken of the activities involved with Hastings Junior Cricket School Holiday Cricket Clinic. Hastings Junior Cricket reserves the right to use these photographs for publications and the promotion of cricket In the Hastings and future Hastings Cricket Clinics.
I have read the above, and consent to my child’s participation on this basis.
Parent / Guardian Full Name (Please print)
______
Parent / Guardian Signature: ______
Please send this application and $60 clinic levy (cheques made payable to Hastings River District Junior Cricket Association) to Mervyn Bourke PO Box 371 Wauchope 2446.
No applications will be accepted after Monday 17th September 2012.