MEDICAL INFORMATION Medical Conditions CENTRAL COAST … · 2017. 11. 24. · Former Sydney 1st...
Transcript of MEDICAL INFORMATION Medical Conditions CENTRAL COAST … · 2017. 11. 24. · Former Sydney 1st...
CENTRAL COAST CRICKET
COACHING COACHING COACHING SCHOOL
COACHING COACHING SCHOOLSCHOOL
SERVING THE COAST
SINCE 1994
JANUARY 2018 Vacation Clinic
!For boys and girls
Aged 5 to 15
Approved by Cricket NSW
!!!!!!!ENROLMENT !Child’s name ................................................................................................
Address .......................................................................................................
........................................................................ P/Code ................................
Age ........................... Phone ........................................................................
Cricket club/team .........................................................................................
Dates you wish to attend .............................................................................
Times you wish to attend .............................................................................
I would like to be grouped with ....................................................................
.....................................................................................................................
Parent/Guardian name ................................................................................
Email............................................................................................................
I give permission for my child to attend the SeaFM Cricket Coaching School Clinic.
Signature .....................................................................................................
How did you hear about the clinic?
.....................................................................................................................
Is this your first time attending the clinic? Yes No
Do you give permission for MWCCS to use photos taken at the clinic to be used on its website? Yes No
MEDICAL INFORMATION
Child’s name ................................................................................................
Parent contact number during clinic hours ..................................................
Doctor’s name .............................................................................................
Doctor’s phone ............................................................................................
Medical Conditions
Epilepsy Yes/No
Diabetes Yes/No Asthma Yes/No Allergies Yes/No Heart condition Yes/No Fainting/Dizzy spells Yes/No Ear disorder Yes/No Other (please provide details)
Yes/No
.....................................................................................................................
I authorise the SeaFM Cricket Coaching School to obtain medical assistance which is deemed necessary and agree to pay all medical expenses incurred.
Parent/Guardian name ................................................................................
Signature .....................................................................................................
Date .............................................................................................................
David Ford is again conducting his popular cricket clinic during the Summer school holidays.
Established in 1994, the Central Coast Cricket Coaching Clinics are designed to provide an avenue for young cricketers to develop their skills and have some fun at the same time. Young cricketers typically return to the clinics year after year and some have gone on to representative level.
DATE, TIME and VENUE ! Wednesday 10 to Friday 12 January 2018 ! 9am to 1pm or ! 9am to 3pm daily
!! AT Sohier Park
Sohier Street, Ourimbah HEAD COACH
David Ford B.Ed. M. Sports Management David brings a wealth of experience and expertise to cricket. He has both played and coached first grade cricket in Sydney and overseas, including roles as Head Coach of clubs in the UK and Ireland. David attends every clinic, actively supporting the players and the other coaches. ! Level 3 Coach – Cricket
Australia ! Former Sydney 1st Grade cricketer ! Former Cricket NSW Development Officer ! Current High School Teacher ! Currently coaches numerous players who are involved in emerging
Blues squads. Former students from the clinics, such as Tim Cruikshank, Jackson Bird and Steve Colley, have risen to NSW representative level.
THE PROGRAM
Your young cricketers benefit from the knowledge and experience of our talented coaches. They
! receive coaching in batting, bowling, fielding & wicket keeping
! participate in skill drills and modified games
! receive a written report on their progress at the completion of the clinic (for those attending the full clinic).
! enjoy “Super Eights” games on the final day
With a coaching ratio of one coach to every ten children, no one gets to sit around! All coaches are well-qualified, some teachers, experienced, local, good educators and skilled cricketers.
Each Clinic is an active, full participation event. Your child will be rewarded with new skills, new friendships and a terrific fun time under the watchful eye of experienced, caring coaches. AWARDS In recognition of their participation, each child receives a SeaFM Cricket Coaching School drink bottle and certificate. Further awards, like cricket bats and other equipment, are made at the conclusion of the clinic for sportsmanship, enthusiastic participation and improvement. CLOTHING Appropriate clothing is a light-coloured shirt and tracksuit pants or shorts. A hat and sunscreen are essential. Please send sunscreen with your children so they can reapply it during the day. EQUIPMENT and FOOD ! Participants are encouraged to bring their own equipment. However,
bats, pads, gloves and protective equipment are provided. ! Helmets must be worn when batting against a hard ball. ! Soft drinks and bottled water are available for purchase at $2 each.
Food is not available so make sure send along enough to keep a busy child going to the end!
ENROLMENTS Your position at the clinic is automatically confirmed on receipt of the application form together with full payment. Unless notified, applications received are confirmed. A receipt can be issued upon request. Applications and payments (cheque or money order) may be mailed to David Ford, 7 Wiruna Cres, Newport, 2106. Please make cheque payable to David Ford. If you prefer to pay by cash please contact David.
A direct deposit facility is available. Please put your child’s name as the reference and email or send in your form prior to the clinic. Direct deposit details are: Account Name: David Ford Bsb: 112-879 Account Number: 4111 346 36
ENQUIRIES ! David Ford 0415 448 138
WET WEATHER In the event of wet weather the clinic will run at Tumbi Indoor Centre, Cnr Wyong Road & Enterprise Drive, Berkeley Vale. COST ! 9am to 1pm $150 per clinic OR ! 9am to 3pm $180 per clinic ! Daily Rates 9am to 1pm $60
9am to 3pm $70 ! 10% discount for siblings
!
ience He has both
played and coached first grade cricket
ricketer