NYSWCAA Volleyball Championship 2000 Declaration of Intent

1.	Name of Member School ______________________________________ (Please Check only one) WILL _________ WILL NOT _______ compete in the 2005 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.
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:

Championship Director	Executive Director
Janet Donovan Ithaca College 201 Ceracche Athletic Center Ithaca, NY 14850 607-274-1269(W) 607-274-1667 (F) jdonovan@ithaca.edu	Victoria Chun NYSWCAA 7248 Butternut Lane Hamilton, NY 13346 315-824-8911 (P) 315-824-8911 (F) vchun@nyswcaa.org

Volleyball Championship Declaration of Intent 2005