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Return one copy of this
form to the Championship Director and one copy to the Executive Director
by |
| Championship Director | Executive Director |
Ed Caeser |
Shannon McHale – Interim Director |
| 1. | Name of Member School
______________________________________
(Please Check only one) WILL _________ WILL NOT _______ compete in the 2007 NYSWCAA Volleyball Championship. |
| 2. | Entry Fee of $325.00 is due once you are selected to participate. A $100.00 fine will be imposed for late declarations. If your school decides to withdraw from the tournament, it must be done before "Selection and Seeding" or the penalty will be loss of entry fee and eligibility for the following year's championship. Notification to withdrawal should be sent to Chairperson Roger Worsley at rwwatl@rit.edu by 6:00 p.m. Sunday, October 21, 2007. |
| 3. | SEND $325.00 Check to Shannon McHale, Athletics, St. John Fisher College, 3690 East Avenue, Rochester, NY 14618 *** Please note NYS Volleyball on Check Memo |
| 4. | Head Coach's Name _____________________________________ |
| 5. | Head Coach - Office Phone ______________________________ |
| 6. | Head Coach - Fax ______________________________________ |
| 7. | Head Coach - E-mail ____________________________________ |
| 8. |
ASSUMPTION OF RISK WAIVER As Athletic Director of _____________________________________, I hereby certify that our volleyball players, coaches, and other team personnel are covered by their own insurance plan or secondary carrier (i.e. college insurance) and therefore waive the responsibility of the NYSWCAA and the host institutions for insurance coverage. SIGNATURE OF ATHLETIC DIRECTOR
DATE: |