Volleyball Championship
Declaration of Intent
2007
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Return one copy of this form to the Tournament Director
and one copy to the Executive Director by October 9, 2007. |
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Championship
Director |
Executive Director |
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(212) 995-4105 (F) |
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1. |
Name of (Please Check only
one) WILL
_________ WILL NOT
_______ compete in the 2007 NYSWCAA Volleyball
Championship. |
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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. |
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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 |
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4. |
Head Coach's Name _____________________________________ |
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5. |
Head Coach - Office Phone
______________________________ |
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6. |
Head Coach - Fax
______________________________________ |
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7. |
Head Coach - E-mail
____________________________________ |
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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:
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