Rockwell Collins Jetstreaks Softball Club
Spring 2016
- Registration Form -

About You:  * = Required entry.
* Eligibility:
* First Name:
* Last Name:
 

Office Phone:
* Home Phone:
* E-mail:
* Emergency Phone:
* Emergency Contact:

Release Form:
By signing this form, I understand that the above named activity is for recreational purposes only. I also understand the nature of the activity including its possible risks and voluntarily register for participation. I hereby release Rockwell Collins, Inc. its officers, directors, Softball League Coordinators and Softball League Organizers from all liability for any and all damages and injuries, including death, suffered by myself in connection with said recreation activity. I understand that my participation is entirely by my own choice and with the understanding of risk or accidental injuries involved in any recreation activity sponsored by the Rockwell Collins Inc. Rockwell Collins employees, spouses, and retirees retain all rights to their customary and reasonable medical expenses as defined by their existing company medical plan. Contract retain all rights to their own medical plan. Eligible participants are defined as current employees, retired employees and spouses of the above. Contracted employees working directly or through a third party for Rockwell Collins, Inc.
* Signed: I… with the above text, and submit my "signature".
 
 
  ______________________________________________
Dated:September 21, 2017

Review & Submit: Important… Review your email address!
 

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