2009 MNLAX.com 2nd Grade Registration
Player First Name
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Player Last Name
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Current Grade 2008/2009 school year
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Health Insurance information including your preferred provider
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Consent to treat - every effort will be made to contact the parent
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Please Select
Yes
No
In consideration of your acceptance of me or my child as a participant in the Edina recreations program, I hereby waive against the City of Edina, its employees and agents, all claims for injuries suffered by me or my child incidental to, connected with, or arising out of the recreational activities for which I am or my child is enrolled, including injuries suffered as a result of negligence by the City of Edina, its employees or agents.I hereby waive against the MNLAX.com and Optimage Corp. it's corporate parent, its Board of Directors, management, members, coaches, supervisors, participants and persons transporting my child to or from activities, all claims for injuries suffered by me or my child incidental to, connected with, or arising out of the recreational activities for which I am or my child is enrolled, including injuries suffered as a result of negligence by the MNLAX.com, its Board of Directors, management, members, coaches, supervisors, participants and persons transporting my child to or from activities. I understand that the program described on the web site for which I have enrolled or for which I have given my child's permission may be hazardous and that injuries may occur in the normal course of participation or instruction and I assume all risks and hazards incidental to me or my child's participation including transportation to and from activities.n
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I do hereby waive against the facilities at which EGFA activities occur, including but not limited to Edina City Parks, their employees or agents, all claims for injuries suffered by me or my child incidental to, connected with, or arising out of the recreational activities for which I am or my child is enrolled, including injuries suffered as a result of negligence by the facilities at which MNLAX.com activities occur, including but not limited to Edina City Parks, their employees or agents.n
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I understand and acknowledge that MNLAX.com, the City of Edina, and the facilities at which MNLAX.com activities occur have no medical or health insurance covering me or my child.n
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I certify that to the best of my knowledge, I have or my child has no physical injury or sickness except as specified above. Clicking through this document to complete registration electronically binds me to the terms specified with the same force and commitment as if I had signed the document manually.n
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DATA PRIVACY: The Data Privacy Act requires that we inform you of your rights about the private data we are requesting on our forms. Private data is available to you, but not the public. This information is shared with Edina Park & Recreation and the various Lacrosse organizations which MNLAX.com is governed by: USLacrosse.org, as well as the communities hosting tournaments. You can withhold this data, but we may not be able to complete your registration and/or you may not receive updated program information.
Your submission is your acknowledgement and acceptance of the terms contained in the disclaimer.
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