Lions Pride Sports Clinics
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Save $10.00
When you register before
June 1st
TO REGISTER PLEASE VISIT THE LINK BELOW
ALL CLINICS HELD AT LUDLOW HIGH SCHOOL
500 CHAPIN ST, LUDLOW, MA 01056
The cost ranges from $95.00 to $350 per clinic Save $10 if you register by June 1st. Group and family rates are available
Lions Pride Sports Clinics is a private organization and is not affiliated with the Ludlow Public Schools or the high school athletic department.
TO REGISTER: please complete the form below and return it to Lions Pride Sport Clinics
Attn: Tim Brillo,748 Alden St. Ludlow, Ma. 01056
Name:______________________________________________________ Address: ________________________________________________ ___________________________________________________ Grade as of September: ______________________________________ Daytime Phone: ______________________________ Cell Phone: __________________
Email: _____________________________________________________________
Parental Consent Form The undersigned, being a parent or legal guardian of the child requesting clinic admittance, does hereby affirm that the applicant is in good health, and suffers from no illness, disability or condition that requires the taking of medication on a regular basis unless that condition is disclosed and approved. Furthermore, the undersigned has no knowledge of any reason the applicant can not participate in vigorous physical activity. The undersigned hereby expressly agrees to be responsible for any medical bills incurred in the treatment of any illness or accident. In the event of any such accident or injury, I hereby consent to allowing any of the clinic supervisors to procure any medical treatment deemed advisable on behalf of my child or ward without prior consent. No medical insurance is provided by Lions Pride Sports Clinics. I understand that as a condition of admittance to participate, the undersigned, on behalf of all parents and guardians, and on behalf of the applicant, hereby release Lions Pride Sports Clinics and all employees or agents of the clinic from any and all liability from injury or illness, mental or physical, suffered by the participant during or related to the clinic, unless caused by willful act or gross negligence by the person or entity against whom the claim is made.
This is the _____________ day of _____________.2023
Parent or Guardian’s Signature_________________________________________
Each youngster is subject to immediate dismissal if he or she does not comply with the clinic rules and regulations or if the student is found to be detrimental to the interest of the program. No Refunds.
Select Clinic or Clinics Below
Basketball _____ Volleyball Basics _______
Soccer Session 1 ______ Soccer Session 2 _______
Tennis ______ High School Volleyball _______
High School Beach Volleyball __________ Wrestling ______________
Athlete Prep: _____ (select your session)
Mon & Wed 10:00 AM ______ Mon & Thursday 8:00 AM