|
First Class Lacrosse Plus
Columbus Day Clinic
Monday, October 9th 9am to 2pm
|
Camp session is designed to improve the individual skills and small group concepts which are so crucial for success in lacrosse.
Come have some fun with contests, drills, radar gun, and much, much more.
Each participant needs full equipment and a lunch and drink
Registration inquiries:
Questions – please call Mike Webster at 732-207-3920
Questions – please call Mike Webster at 732-207-3920
= required field |
Oops! You do not have javascript enabled. This registration process depends on javascript to function correctly.
Please enable javascript in your browser and then reload this page.
use this registrant for billing information
PLAYER INFORMATON
Goalie
Middie
Defense
Attack
Middie
Defense
Attack
EMERGENCY CONTACT INFORMATION
In Consideration of my participation in First Class Lacrosse Plus LLC. 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 First Class Lacrosse Plus
LLC. 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 First Class Lacrosse Plus LLC. 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 First Class Lacrosse Plus LLC sponsored events and activities and I accept each
of the conditions, especially the waiver and release set forth in paragraph one.
Signature of Parent/Guardian Date
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 & conditionsagree 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 First Class Lacrosse Plus
LLC. 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 First Class Lacrosse Plus LLC. 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 First Class Lacrosse Plus LLC sponsored events and activities and I accept each
of the conditions, especially the waiver and release set forth in paragraph one.
Signature of Parent/Guardian Date
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.