December 16th, 2006
At Glasgow High School
Newark, Delaware
9:00 - 10:30am Middle School
10:30 - 12:00pm High School
Tryouts open to all Girls High School Graduation Year 2008 - 2012
(current grades 6th-10th)
What to bring:
stick,
mouthguard, goggles, snack, full water bottle, shoes for outdoor play
(goalies bring all equipment)
$30 for tryouts
(checks payable to Pro sports LLC)
SEND COMPLETED WAIVER (below)
AND CHECK POSTMARKED BY December 10th, 2006
Send to:
DeLax
Attention: Kim Ciarrocca
255 Peoples Way
Hockessin, DE 19707
Walk-up registration with cash only.
Check the website www.bluehenlacrosse.com for more information.
For more information email Kim Ciarrocca
at kimlax@udel.edu
-----------------------------------------------------------------------------------------------------
Waiver
Name: ________________________________________________________
Email: ________________________________________________________
School:__________________________________ HS Graduation Year:______
Home Address:___________________________________________________
City:____________________ State: ___________________ Zip: ____________
Home Phone: _____________________________________________________
Birthdate: ____/____/____
In signing this application, I release DeLax, Pro Sports and other involved parties from any claims or responsibility for injuries suffered in the clinic. I knowingly assume all risks associated with participation, even if arrising from the negligence of the participants or others, and assume FULL responsibility for my participation. I certify that I am in good physical condition and can participate in try-outs for DeLax Club Team. Further, I authorize the site director to to request medical treatments necessary to insure my well-being.
Athlete Name:____________________________________________________ Date: _________
Parent/Guardian Name: _____________________________________________ Date: ________
Health Insurance Provider: _______________________________ Policy # _________________
|