LAX VEGAS ‘98 TEAM REGISTRATION FORM

  • Team Name: ____________________________________


  • Team Contact: ____________________________________


  • Phone Number: ____________________________________


  • Fax Number: ____________________________________


  • Address: ____________________________________


  • City, State & Zip: ____________________________________


  • Number of Players Attending: ________________________


  • IMPORTANT: Please fax this registration form to 702-795-4727 to reserve an entry for your team. Entries will be taken on a first come, first serve basis. Upon receipt of your deposit, you will be sent a confirmation letter.


  • A deposit fee of $350.00 is required per team for this event. A check made payable to Source One Events, Inc. should be sent to 2450 E. Chandler Avenue, Suite #4, Las Vegas, NV 89120. It must be received no later than Friday, September 25, 1998 to ensure a spot for your team. We would appreciate the final balance of the payment no later than October 23, 1998.


  • It is the responsibility of each team to provide proof of General Liability Insurance as well as Participants Legal Liability in order to participate in this tournament. If your team is currently insured under The Insurance Program of U.S. Lacrosse, Inc., please have a Certificate of Insurance issued naming Source One Events, Inc. as an additional insured.


    • Should you require insurance for your team, we strongly suggest that you contact Ms. Sally Bruns at Benefits Design Associates at 800-375-5506 or 919-460-5700. She is the Insurance Broker for U.S. Lacrosse, Inc. and would arrange both the General Liability and Excess Medical coverages for your team.

  • A roster of those playing should be submitted with your deposit. If additional players are added between the time of receipt of your deposit and the tournament itself, proof of insurance will be needed prior to check in before the games.




    • 2450 E. Chandler Avenue, Suite #4
    Las Vegas, NV 89120
    Phone (702) 795-7772
    Fax (702) 795-4727