www.LuckyLax.com
Lucky Lax Women’s Adult League
Come join the fun! Lucky Lax is featuring an adult league for post high school players who just graduated this year or 15 years ago! This league will be fun but competitive and we encourage those college players who are home during the summer to come play and stay in shape. The games will be officiated. We are hoping for a great summer and look forward to getting the league started!!
When? : Thursdays, June 26 – August 7, 6:30-7:30 pm (we plan to start playing at 6:30 please arrive ahead of time)
Where? : Linworth Field, 5971 Linworth Rd, Columbus, OH link to the city’s map of fields: http://www.worthington.org/services/parks_recreation.cfm
Park is near the intersection of 161 and Linworth Rd. There are two parking lots on either end of the field.
Cost: $ 30, cash or check made out to Lucky Lax and send to the address below
How to sign up: Print the registration form. Fill out and send to:
Lucky Lax
334 East Kanawha Ave
Columbus, OH, 43214
What to bring: Lacrosse stick, cleats or running shoes, mouth guard and water bottle. (Eye gear is optional)
Questions? : Call Catherine Shelley 614-570-7819 or email: luckylax@hotmail.com
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Player’s name: ___________________________________________
Address: ________________________________________________ City: ____________________
State: ______Zip code: _________________ Phone : __________________________
Player’s email: please PRINT clearly__________________________________________________
Previous lacrosse experience: __________________________________ Position: ______________________
Emergency contact: _____________________________________Phone: ________________________________
How did you hear about us? ___________________________
Waiver: This is to certify that I acknowledge the activities that involve risk of injury at Linworth Field., and I do recognize and assume all risk, whether foreseeable or unforeseeable. I hereby release and agree to indemnify Lucky Lax., their affiliates, administrators, directors, agents, coaches and their employees, other participants, and sponsor agencies, from any and all claims and damages relating to or arising out of my participation in their program. In connection with the Applicant’s participation in Lucky Lax Leagues, the undersigned do certify that the Applicant/player is in good health, has no physical impairment restricting him or her from playing lacrosse, except as herewith provided in writing to Lucky Lax, and otherwise is able to participate in the program activities. We (are, are not please circle) attaching a statement explaining special physical limitations and/or required medication, if any, (please indicate if the Applicant/player suffers from allergies, asthma, diabetes, restricted activities, etc.). In further consideration of Lucky Lax acceptance of this application, the undersigned, both for himself or herself and on behalf of any minor child for whom he or she is submitting this application, hereby agree(s) to indemnify and hold harmless, Lucky Lax, its officers, directors, coaches, staff, workers, volunteers, agents, and sponsors from and against any and all liability, claims, actions, lawsuits, losses, judgments, and demands whatsoever, in law or in equity, arising out of or in any way relating to the Applicant’s participation in any League event, including, but not limited to, personal injuries or injury to property sustained or caused by the Applicant during or as a result of participation by the Applicant in Lucky Lax, Inc. The Applicant is aware of the fact that lacrosse is a physically demanding and challenging sport in which injuries may occur.
I authorize LUCKY LAX, Inc., and its agent’s permission to request medical treatment as necessary to insure the well being of the applicant.
Signature: _________________________________ Date: _____________________