Home
 
 
My my My my
 
 
 
 
 
 
Indoor Winter LACROSSE Registration Form 

 
Player’s name_________________________________ grade__________ DOB_________




Parent’s name_____________________________________ email_______________________________



Address ______________________________________________________________________________



Previous seasons played_________ Emergency contact name/#__________________________________



Medical concerns:________________________________________________________
 


Accident disclaimer:  I understand and confirm that by signing this WAIVER AND RELEASE I have given up considerable future legal rights. I have signed this Agreement freely, voluntarily, under no duress. My signature is proof of my intention to execute a complete and unconditional WAIVER AND RELEASE of all liability to the full extent of the law. I am 18 year of age or older and mentally competent to enter into this waiver.



 
Parent/guardian signature _________________________________________________________  date____________
 
 


 
*********If there’s bad weather, we are canceled for the night. *********
 


Please print this document and bring the form and the payment to the first practice.
Check are made payable to Upper Perk Lax Club.

Here is the link to the registration form.
http://files.LeagueAthletics.com/Images/Club/13285/Indoor Winter LACROSSE Registration Form.docx