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UW Women�s Lacrosse Clinic Enrollment Form and Waiver 

Sunday November 17, 2002  10:00am � 3:00pm Marymoor Park  - Redmond  Field #9

 

Enroll Today! Deadline is November 12th.
 

Print both enrollment form and waiver and complete and mail in by November 12th.

Name

 

Address

 

City

 

State

 

Zip Code

 

 

 

Email

 

Telephone

 

 

 

School

 

Year

 

Years Experience

 

Age

 

Position

 

 

 

Tell us a skill you want to see addressed

 

 

 

T-Shirt Size

XS     S     M     L     XL     (Unisex - Hanes Beefy T 100% cotton)

 

 

Mail $50 check to:

Shannon Smith

 

1174 Stevens Court, Bldg. B

 

3801 Brooklyn Ave NE

 

Seattle, WA 98105

 

*payment must be mailed by 11/12 or please call Shannon Smith 206.617.2871 to register

Back to info page about clinic

UW Women�s Lacrosse Clinic Waiver - Must be signed and dated below.

November 17, 2002 10:00 am � 3:00pm

If you are the participant and are under 18 years of age, please have your parent or legal guardian sign this page for you.

I am familiar with the nature of the game of lacrosse. I understand that participation in lacrosse can be dangerous and I accept all risk of injury and death for myself if I am a player who is over 18, or for my child who is under 18 that will be participating in the UW Women�s Lacrosse Clinic being held on November 17, 2002 10:00am to 3:00pm. I accept that UW Women�s Lacrosse is only providing an opportunity to play at this clinic, in consideration for the privilege to play, I or my participating child agree to assume all risks and release and hold harmless it�s staff, agents, owners, officers property owners, league directors, officials, sponsors and any others having an interest in the indoor 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 indoor League.

All participants, will insure that they are familiar with the rules of the game and of the field and will to the best of their ability play under control and avoid injury to themselves and other persons playing the game. I, or my child, understand that participation privileges may be revoked and are non-refundable and non-transferable. I accept any and all risk as described above and acknowledge so by signing below.

I have read the above notice and agree to be legally bound by it.

Participant signature date:

Print name:

( if over 18 yrs. Old)

Parent/Guardian signature date:

 

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