Winter Team Training
Jan/Feb 2019  
Coach Mike Webster

Hall-of-Fame Coach Mike Webster, with over 30 years of coaching experience,
will come to your school and coach your athletes.
Sign up now and be prepared for your first practice on March 1st.

January 6 - February 28, 2019
The Pingry School
Basking Ridge Campus
131 Martinsville Road
Basking Ridge, NJ 07920
Click for a larger map
INFO:   Please note that this form contains limited capacity items which are sold out. They are displayed grayed out and/or are not selectable.

How would you like to pay?

When would you like to pay?

Registrant Fee: $0.00

Billing information

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*FIRSTCLASSLACROSSEPL 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:
Questions Ė please call Mike Webster at 732-207-3920
= required field
Privacy Policy
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.
Registrant   remove this registrant

use this registrant for billing 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 agentís
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