$20/session
or
$35 for both
*
*scholarships
available, check box on registration form
MARK THE DATE! On Saturday March 1, the Vashon Lacrosse Club is sponsoring a lacrosse clinic featuring former lacrosse professional Mario Enea. Improve your skills and have fun.
Session 1 (9-noon) is for anyone from beginning to advanced players. The session will cover cradling, passing, ground balls, and offense and defense skills.
Session
BOTH sessions are designed for middle school AND high school players.
QUESTIONS? Contact Ann (206-463-7584 [email protected]), or Charley Rosenberry (206-463-4845 [email protected]).
------------------------------------------------------------------( % Cut here. Keep the portion above) -----------------------------------------------------------------
Address______________________________ Phone_____________________________________
___________________________________ _ q Check if need gear
Emergency contact __________________ __ Phone_____________________________________
Medical Information (allergies, asthma, medication, etc.): ________________________________________________________________________________
Check One: ______ Morning session ($20) / ______ Afternoon session ($20) / ______ Both sessions ($35)
q Check if scholarship requested
Send form & payment to: Vashon Lacrosse Club / 10421 SW Bank Rd #1 / Vashon, WA 98070
(Make check payable to Vashon Lacrosse Club)
________________________________ has my consent and authorization to participate in the March 1, 2003 Vashon Lacrosse Club clinic. My child is physically fit to participate. I am fully aware of the special dangers and risks inherent in this activity including physical injury, death or consequences that may arise or result directly or indirectly from this activity. Being fully informed as to these risks and in consideration of the privilege of participating in the above described activity, I hereby assume all risk of injury or liability and waive any right of recovery from or to bring suit against Vashon Lacrosse Club, California Lacrosse, their coaches and/or representatives for any personal injury, death, loss or other consequences arising out of participation in this activity. In the event of an accident or illness, I understand that every reasonable effort will be made to contact me immediately. However, if I am not available, I authorize MLC coaches or representatives to secure emergency medical care as needed. I certify that I as the parent or legal guardian of the participant named above; that I have read and understand the forgoing release; and that I join in the release without reservation, granting full consent and authorization for the above named person to participate in this activity.
Printed Parent/Guardian Name ___________________________________ Phone ____________________
As a participant in a Vashon Lacrosse Club activity, I agree to conduct myself in a responsible, positive manner. Unsafe, disorderly or threatening behavior will result in my exclusion. I agree to follow the rules of Lacrosse, including, but not limited to, “no high sticking, charging or tripping”.
Signature of Participant _______________________________________ Date _________________