Arnold individual Clinic and Games


We are proud to announce the First Arnold Lacrosse Classic. This event will consist of athletes 3-4 Grades from 9-1 starting off with a skills camp, followed by pairing up players on teams and having games. 5-6 Graders will be from 2-8. Both age Groups will be on March 4, 2017.

March 4, 2017
Ohio State Fairgrounds
Taft Coliseum
717 E 17th Ave
Columbus, OH 43211
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Billing and payment processing for Businesses' events is performed by Member Solutions, Inc. ("MSI"), and this contract is specifically assigned to MSI for all such purposes. Customer knowingly and irrevocably authorizes MSI to charge electronically Customer's bank account and/or credit card for any and all amounts due for Customer's, and anyone registering under Customer's, attendance and participation in the Event. Please note, you may see all or any portion of the following on your bank or credit card statement: "MSI*ARNOLDLAXCLASSIC 8882448044 ONLINE REG FEE". Any returned payment will be assessed a $25.00 fee. Any unsuccessful electronic transaction is subject to a $10.00 processing fee. MSI is not responsible for any bank fees incurred by Customer. MSI has the sole right to resubmit returned or declined items (plus applicable fees) without prior notice. BILLING INQUIRIES -- 888-244-8044 or by mail to PO Box 297, Hatboro, PA 19040.

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Registration inquiries:
Todd Miller
614 206-1467
tmiller@arnoldlaxclassic.com
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PLAYER INFORMATON
Week 1 - Dates Here
Week 2 - Dates Here
Week 3 - Dates Here
Week 4 - Dates Here
Goalie
Middie
Defense
Attack
EMERGENCY CONTACT INFORMATION
In Consideration of my participation in YOUR NAME HERE . sponsored events and activities, I
agree to the following:

1. Waiver and Release: I am fully aware of and appreciate the risks, including the risk of
catastrophic injury, paralysis, and even death, as well as other damages and losses, associated
with participation in a lacrosse event and related sports conditioning activities. I further agree
on behalf of myself, my heirs and personal representatives, that YOUR NAMES HERE along with coaches, officials, referees, volunteers, employees, agents, sponsors, officers,
and directors of these organizations, shall not be liable for any injury, loss of life or other loss
or damage occurring as a result of my participation in the event.

2. Medical Attention: I hereby give my consent to First Class Lacrosse Plus, LLC. to provide,
through a medical staff of its choice, customary medical/athletic training attention,
transportation and emergency medical services as warranted in the course of my participation
in YOUR NAME HERE sponsored or sanctioned events.

3. Readiness to Compete: I will only participate in those competitions or activities in which I
believe I am physically and psychologically prepared to participate.

As legal guardian of this participant, I herby verify by my signature below that I have read and
fully understand each of the conditions under Participant Waiver and Release section for permitting my
child to participate in any YOUR NAME HEREsponsored events and activities and I accept each
of the conditions, especially the waiver and release set forth in paragraph one.

Insurance Information
All participants are required to be covered with insurance for accidental injury. In most instances, family
health insurance is adequate. Please indicate your family health insurance plan above.

Medical Treatment Authorization
I/We being the legal guardians of the applicant authorize First Class Lacrosse Plus LLC and its agent’s
permission to request medical treatment as necessary to insure the well being of our dependent.
Check this box to indicate that you have read and agree to all of the above terms & conditions