WOMEN’S LACROSSE

SUMMER LEAGUE 1999

FOR PLAYERS OF ALL AGES (13 YRS +) AND LEVELS OF EXPERIENCE

JUNE 15 - AUGUST 17

Games every TUESDAY and THURSDAY NIGHTS at 6:30 PM & 7:45 PM

:  Chinook Middle School, 2001 98th Ave. NE, Bellevue

Players will be assigned to a team upon receipt of registration form.  Each team will play 1 game per week and compete in a single-elimination tournament during the last two weeks of the season.  All players must be present June 15 -- Team assignments, jerseys and game schedules and will be made available at this time.  League games begin June 17.

Directions to Chinook Middle School from 520:  Chinook MS is in the Clyde Hill neighborhood of Bellevue.

 

Please complete the form below to assist us with registration and team placement. 

 

IMPORTANT: All players are required to sign the liability waiver and return with payment. Additionally all players must have proof of medical insurance to play.

REGISTER BY FRIDAY JUNE 4th

Name:

Address:

Email:

Day Phone:                                          Evening Phone:

Team:

Age/Grade:

Lax experience & Positions played:

Carpooling needs?(indicate if you need to be on the same team with another player)

Do you currently have medical insurance? Yes____ No____

Emergency Contact:                                                                             Phone:_____________________

Liability/Injury Waiver and Release

I am familiar with the nature of the game of lacrosse. I understand that participation in lacrosse can be dangerous and I accept all risks of injury and death. I accept LAXON Club Team is only providing an opportunity to play in summer league games, in consideration for the privilege to play, I agree to assume all risks and release and hold harmless LAXON Club Team, it's staff, agents, owners, officers, property owners, league directors, officials, sponsors and any others having an interest in the league from all liability, negligence, causes of action, claims, demands and damages of every kind which may arise out of my participation in any and all activities at this facility.

I will insure that I will familiarize myself with the rules of the game and of the field and will to the best of my ability play under control and avoid injury to myself and other persons playing the game.

I understand that my participation privilege may be revoked and is non-refundable and non-transferable.

I accept any and all risk as described above and acknowledge so by signing below.

Signature:___________________________ Age: _________         Date:___________________

If under 18, parental signature required as well.

Parent Signature:                                                                               Date:___________________

Complete form and return with $50 check payable to LAXON Club Team. If you have any questions, email Stephanie Cone at [email protected]  or call 425-603-0770

 

Mail to: Stephanie Cone

1413 170th Place NE

Bellevue, WA 98008

    Liability/Injury Waiver and Release