Lacrosse Registration "2018"

Mission Statement
The mission of LYSA is to; create a first class community based and sponsored youth sports organization, locate and develop land for youth sports programs, events and activities and develop, teach methodology, and train athletes who will participate in various sports programs within and at the Longwood Junior and Senior High School levels.
LYSA is organized to provide specific services and training to the children of the Longwood Community through supervised and structured youth sport programs, events and activities.

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Registrant Fee: $0.00

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Billing and Payment
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*LONGWOODYOUTHSPORTSA 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.

Applicant Agreement
I represent that I am the person who appears on the application above. I acknowledge and agree to the statements, terms and conditions above, as well as any applicable terms and conditions for this registration, and that by typing my name below and completing this registration form, I am electronically signing the document, which will have the same legal effect as the execution of the document by a written signature and shall be valid evidence of my intent and agreement to be bound.

Applicant Signature
Please enter your full name in the space below.

Please click the button below to finalize your registration.

Registration inquiries:
Lynn Schnellenbach, LYSA Lacrosse Commissioner, or (631)929-1379.
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Volunteer Section

I/we, the parents of the above named child, hereby give my/our consent for participation in the above named activity and do claim that he/she is in excellent physical condition to participate in said activity/sport.

Furthermore, I/we, the parents of the above named candidate for a position on a league team hereby give my/our approval to his/her participation in all league activities during the current season. I/we assume all risks and hazards, incidental to such participation including transportation to and from the activities; and I/we do hereby waive, release, absolve, indemnify and agree to hold harmless the Longwood Youth Sports Association Inc., the organizers, sponsors, supervisors, participants and persons transporting my/our child to and from activities, for any claim arising out of any injury to my child, except to the extern and in the amount covered by accidental or liability insurance.

I/we fully understand that registration and insurance fees are NON-REFUNDABLE.
Check this box to indicate that you have read and agree to all of the above terms & conditions
*You will be entitled to a $10 discount off your registration per additional child after you've registered your first child at normal pricing.