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YES Clinic



 

Application

For information
Call 301-405-7945
E-mail rfox@academy.umd.edu
or Fax (301) 314-2626

or print this form and mail it to:

    Rob Fox
    NCAA Yes Clinic
    University of Maryland
    Dept. of Athletics
    PO Box 295
    College Park, Maryland 20741-0295

(Applications must be postmarked by May 24)

Name_____________________________________________
Address__________________________________________
City______________________State______ZIP_________
Phone____________________________________________
Age________M or F_______Grade in School__________
School___________________________________________
Position preference:
____Attack  ____Midfield  ____Defense  ____Goalie
In the event of an injury, University of Maryland,
College Park, and/or the NCAA is authorized to obtain
any medical care or treatment deemed necessary.
_________________________________________________ 
Parent/Guardian Signature Required           Date
Emergency Contact on May 30, 1999:
Name_____________________________________________
Phone Number_____________________________________


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