PLAYERS AND COACHES BASKETBALL CLINIC Learn from the best as the Philadelphia Big 5 and Drexel Women’s Basketball coaches and st players gather on the campus of VILLANOVA UNIVERSITY for a one day clinic for GIRLS 1 8 th GRADE , as well as a coaches clinic for AAU, grade school, and high school coaches. Sunday, October 16, 2011 10:00-12:00 pm at Villanova University THE PAVILLION Registration 9:00 – 9:45 $ 25 donation for players and coaches. The Big 5 Player Clinic is limited to the first 300 girls to register - so reserve your spot today! Selected Coaches Will Speak On Key Topics Jeff Williams (La Salle), Mike McLaughlin (Penn), Cindy Griffin (Saint Joseph’s), Tonya Cardoza (Temple), Harry Perretta (Villanova), and Denise Dillon (Drexel) For more information, contact Briana Weiss at 610-519-3527 or briana.weiss@villanova.edu or Mary Anne Gabuzda at 610-519-3535 or mary.anne.gabuzda@villanova.edu Big 5 Coaches vs. Cancer Clinic sponsored by: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Big 5 Players and Coaches Clinic Registration Name:_____________________________________________ Please Circle: Players Clinic or Coaches Clinic Address:________________________________________________________________________ City:_________________________________ State:_____ Zip:_____________ For Players - - Grade:_____________________ School:________________________________________________________________ For Coaches - - Please Circle: AAU Coach High School Coach Grade School Coach Name of team:_______________________________________________________ *Method of $25 payment ( circle: cash, check, or credit card )* Check #:____________________________________________________ Checks payable to: Villanova University (or) Name of Credit Card:_____________________________________________________________ Credit card #:_________________________________________________________ Exp. Date:_______________ Signature:__________________________________________ I hereby authorize the staff of the Philadelphia Big 5 and its’ member institutions to act for me in accordance with their best judgement in any emergency requiring medical attention and I hereby waive and release the Big 5 and its’ member institutions from any and all liability for any injuries or illnesses incurred while at the Big 5 Clinic. I have no knowledge of any physical impairment that would prevent full participation by the above named participant of the Clinic program as outlined above. I also understand the Big 5 retains the right to use for publicity and advertising photographs and video of participants taken at the Clinic. Coach’s Signature (coaches clinic):________________________________________________ Parent’s Signature (players clinic):________________________________________________ Please mail completed registration form and payment to : Villanova University Women’s Basketball Office 800 Lancaster Avenue Villanova, PA 19085