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WOMEN'S LACROSSE
SUMMER LEAGUE 2000
JUNE 19 - AUGUST 02
Games every MONDAY and WEDNESDAY NIGHTS at 6:30 PM & 7:45 PM at Genesee Park, Seattle
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 19 -- Team assignments, jerseys and game schedules will be made available at this time. Be prepared to play on June 19.
Directions to Genesse Park from I-90: (The field is south of the I-90 bridge.) Go south on Rainer Ave for about 2-3 miles. Turn left onto Genesee St. The field is just past 43rd Ave S on the right.
Please print out and complete the form below to assist us with registration and team placement.
REGISTER BY FRIDAY JUNE 9th
Name:
Address:
Email:
Day Phone: Evening Phone:
Team(s) played on:
Age/Grade:
Lax experience & Positions played:
Carpooling needs? (indicate if you need to be on the same team with another player)
IMPORTANT: All players are required to sign the following liability waiver and return with payment. Additionally all players must have proof of medical insurance to play.
Complete both sections of form and return with $50 check payable to LAXON Club Team.
Mail to: Jeannette Wake
3921 SW Portland St
Seattle Wa, 98136
If you have any questions, email Jeannette Wake or call 206 937 1538.
Liability/Injury Waiver and Release
Player Name:___________________________________________
Do you currently have medical insurance? Yes____ No____
Emergency Contact: Phone:_____________________
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:___________________