Panther Track & Field Clinic
9:00 am - 3:30 pm
For athletes entering grades 5-9
$225 per athlete & $175 per additional family member
Contact G. Stephen George (
, 781-367-8487) for more information or visit WHAthletics.com
Athlete's date of birth
Grade entering in 2021 school year
Athlete's t-shirt size
Parent/guardian phone #
Parent/guardian & athlete's address (street, town, & area code)
Parent/guardian email address
Emergency contact name & phone #
Please list any medical concerns or allergies we need to be aware of or write "N/A"
Payment must be made by July 10, 2021 in order to reserve an athlete's spot (payment can be made in the form of cash or check [checks made payable to Whitman-Hanson Track & Field Clinic] and mailed to G. Stephen George, P.O. Box 116 Abington, MA 02351 or dropped off at the High School)
I give permission for my son/daughter to participate in the WH Athletic Camp/Clinic. I agree to hold the Whitman-Hanson School District and all of its employees and agents, Bob Rodgers, G. Stephen George, all coaches, camp counselors, officials, trainers and agents free from any liability whatsoever in the event of any type of injury or contraction of Covid 19; I also certify that my son/daughter has been through a physical examination within the last 13 months and that he/she is healthy and able to participate in the camp. I also give my permission for the program to seek medical attention for my son/daughter in the event of an injury, but again will not hold the camp, its coaches, Whitman-Hanson Regional School District or its agents liable for said medical care or lack there of. I am aware that attending this program could put family members at risk in terms of the transmission of Covid 19. I affirm that I understand these risks and will not hold Whitman-Hanson Regional School District, its employees, its agents or any other party liable for any issues that may arise as a result of attending this program. By printing my name below I agree to all of the above provisions.
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