Rockwell Collins Trap League
Summer 2017
- Registration Form -

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

Office Phone:
* Home Phone:
* E-mail:
* Emergency Phone:
* Emergency Contact:
* Rec. Center: Are you also a member of the Rec. Center? Yes No

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, Rockwell Collins Recreation Center, Trap & Skeet League Coordinators and Trap & Skeet 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 Recreation Center. 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 and Recreation Center Members 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. Recreation Center Members are defined as a current member of the Rockwell Recreation Center.
* 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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