|
| |
High School
Summer League At Dowling College hosted by JUST 4 GIRLS LACROSSE
|
 High School Summer Lax League
|
| TEAM
REGISTRATION FORM CONTACT NAME:__________________________________
TEAM
NAME___________________________________ ADDRES_________________________________ City_____________________________________
State______________ Zip__________________ CONTACT #_____________________________ E-Mail___________________________________ Emergency
Contact Name____________________________________ Emergency Contact #_______________________ AMOUNT ENCLOSED: $ _____________
Please make checks payable to: Just 4 girls lacrosse SEND PAYMENT TO:
Tom Carro
46 Howe Road
Coram, NY 11727 |
| DATES:
TBA TIME:
5:00 - 10:00 pm FORMAT: Games: 2 - 25 min halves running time with Officials.
FEE:
$2,000 per team (minimum 20 players)
$200.00 DEPOSIT BY JUNE
15TH -- REAMAINING BALANCE DUE BY JUNE 29TH
** Fee AND waiver must be submitted ASAP**
PLEASE FIND WAIVER & RELEASE
FORM BELOW COPY & GIVE TO ALL PLAYERS
Please provide a copy of team roster w/ payment
**Limited spots, teams accepted on first come, first serve basis.**
LOCATION: Dowling
College Brookhaven Campus
Golden Lions Field William Floyd Parkway
Shirlery, NY
CONTACT: Tom Carro (631) 905-4147
|
|
| | | WAIVER AND RELEASE:
I, the undersigned, agree that I and/or (my daughter) am physically fit
to participate in strenuous athletic activity,and waive Just 4 girls lacrosse, Dowling College and its officers and employees
of any and all responsibility for injury or illness. I hereby authorize the directors of Just 4 Girls lacrosse to
act for me according to their best judgment in any emergency requiring medical attention. I also understand that I am solely
responsible for the payment of any such medical expenses and must provide the clinic with proof of medical and accident insurance.
PLAYER:____________________________________________DATE_______________________________
PARENT/GUARDIAN:_____________________________________________________________________
(Under 18 years of age) |
| I look forward to you joining us for the 2010 Summer Lacrosse
League at Dowling College. If you have any questions, please do not hesitate to contact me at (631) 905-4147.
Sincerely,
Tom Carro |
|
|
