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TORONTO LIGHTNING LACROSSE
Registration:
Print your form and either fax it to 416-269-2605 or scan and e-mail it to
info@torontolightninglacrosse.com. Payment can be processed through Pay Pal.
PARTICIPANT REGISTRATION FORM
NAME:
PLAYER POSITION:
LEVEL: (new, intermediate, experienced)
ADDRESS:
POSTAL CODE: JERSEY # (pick 3) SIZE:
PHONE: H: W: C:
HEALTH CARD #: BIRTH DATE :
EMAIL:
EMERGENCY CONTACT: PHONE:
ARE YOU INTERESTED IN BECOMING A LEAGUE SPONSOR: Y N
The undersigned hereby applies for individual registration in the 2010-11 Lacrosse Season for the aforementioned fee, and agrees to be bound by the rules and regulations of the League. It is understood that absolutely no personal alcohol is permitted to be consumed on the property of Stephen Leacock Arena or any associate facility. Violation of such rules may result in a team fine and/or suspension with no refund whatsoever. Furthermore, I am in sufficient physical health in my opinion to be playing competitive lacrosse. I hereby clear Toronto Lightning Lacrosse against any liability in the event of injury to my person, damage or theft to my possessions or personal property that occurs on arena premises before, during or after league sessions and/or games organized or sanctioned by Toronto Lightning Lacrosse. I also fully understand that there is no insurance for medical or dental provided by TLL for any events I participate in. I agree to emphasize fair play and will respect all players, officials and spectators to the best of my ability.SIGNATURE: DATE: |
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Approved by League Director/Agent:
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IF PAYING BY CHEQUE, MAKE PAYABLE TO TLL.
REGISTRATION FEE PAYMENTS:
DATE: ________________ AMOUNT: __________ CASH CHEQUE
LEAGUE USE ONLY: LEAGUE SIGNATURE FOR PAYMENT: _____________________________ |
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