Form closed on Friday, Jan 31, 5:00 AM
2025 NGWSD - Clinic Registration
The University at Buffalo is celebrating National Girls and Women in Sports Day on Saturday, February 1st! Join us for the Girls Sports Clinic (grades 4-8) at 11 AM in Murchie Family Fieldhouse! Check-in begins at 10:45 AM
To reserve your spot, fill in the form below. A representative from UB will follow-up with you to confirm your registration. Questions? Email Holly Kemp at hollykem@buffalo.edu
2025 Waiver & Release Form - An electronic signature of the participant or legal guardian is needed at the bottom of this form in order to validate your registration.
In consideration for allowing Participant to participate in Clinic, I/we, as parents and/or guardians of Participant, agree to the following:
• Authorize Participant to participate in the Clinic for the Clinic Dates stated above.
• Release, indemnify and hold harmless the University at Buffalo Athletics from any and all damages, except for damages caused by the sole gross negligence or intentional misconduct of the University at Buffalo, arising out of the participation of Participant in the Clinic.
• Prior to the commencement of the Clinic, I/we were made aware of the nature of the Clinic, had sufficient opportunity to inquire further, and understand the Clinic has inherent risks and I/we and Participant assume, on behalf of Participant, all those inherent risks.
• While participating in the Clinic, Participant is subject to the policies, rules and regulations of the University at Buffalo Athletics. Possession of fireworks, explosives, any weapon, illegal drugs or alcohol is prohibited and cause for immediate expulsion from the Clinic. Further, any Participant repeatedly disobeying University policies, rules or regulations may be expelled from the Clinic.
• Authorize University at Buffalo Athletics Clinics, its employees, clinicians, athletic trainers, nurses and agents (collectively, “Activity Sponsor”) the authority to seek, obtain, and approve any medical care and treatment including, but not limited to x-ray examination, anesthetic, medical, dental or surgical diagnosis, or treatment and medical care which may be recommended and provided under the general supervision of any physician or surgeon, for Participant which, in their judgment, is necessary for the health and well-being of Participant during his/her participation in the Clinic. I/We further agree that I/we are(am) solely responsible for any costs incurred and agree to hold the University at Buffalo, their employees and agents (collectively, “University”) harmless for any liability arising out of any good faith action taken in obtaining medical treatment for Participant.
The above agreements are binding upon us, our estates, heirs, representatives and assigns.
I hereby authorize the release of any medical information which might be needed in connection with payment for medical services.
I/Guardian give consent to University at Buffalo and it's partners to take and post photographs of participants.
In consideration for allowing Participant to participate in Clinic, I/we, as parents and/or guardians of Participant, agree to the following:
• Authorize Participant to participate in the Clinic for the Clinic Dates stated above.
• Release, indemnify and hold harmless the University at Buffalo Athletics from any and all damages, except for damages caused by the sole gross negligence or intentional misconduct of the University at Buffalo, arising out of the participation of Participant in the Clinic.
• Prior to the commencement of the Clinic, I/we were made aware of the nature of the Clinic, had sufficient opportunity to inquire further, and understand the Clinic has inherent risks and I/we and Participant assume, on behalf of Participant, all those inherent risks.
• While participating in the Clinic, Participant is subject to the policies, rules and regulations of the University at Buffalo Athletics. Possession of fireworks, explosives, any weapon, illegal drugs or alcohol is prohibited and cause for immediate expulsion from the Clinic. Further, any Participant repeatedly disobeying University policies, rules or regulations may be expelled from the Clinic.
• Authorize University at Buffalo Athletics Clinics, its employees, clinicians, athletic trainers, nurses and agents (collectively, “Activity Sponsor”) the authority to seek, obtain, and approve any medical care and treatment including, but not limited to x-ray examination, anesthetic, medical, dental or surgical diagnosis, or treatment and medical care which may be recommended and provided under the general supervision of any physician or surgeon, for Participant which, in their judgment, is necessary for the health and well-being of Participant during his/her participation in the Clinic. I/We further agree that I/we are(am) solely responsible for any costs incurred and agree to hold the University at Buffalo, their employees and agents (collectively, “University”) harmless for any liability arising out of any good faith action taken in obtaining medical treatment for Participant.
The above agreements are binding upon us, our estates, heirs, representatives and assigns.
I hereby authorize the release of any medical information which might be needed in connection with payment for medical services.
I/Guardian give consent to University at Buffalo and it's partners to take and post photographs of participants.
