DELAX Club Cutting Edge Lacrosse - Girls lacrosse practice and travel teams

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

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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 # _________________