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2009 Online Registration Form

Tournaments:

Information not yet available for our 2009 events; please check back later this year.

Player Information:

First Name: Last Name:

Address:

City:   State: Zip

Phone:   Date of Birth

High School Year of Graduation

Coach's Name Coach's Phone

List five school you may be interested in attending:

1. 2. 3.

4. 5.

Email address (if colleges may contact you via email - PRINT CLEARLY):

Athletic Profile:

Position    Height   Weight Strong Hand

Academic Profile:

PSAT or SAT Score    Verbal   Math

Grade Point Average (report this based only on a 4.0 standard; convert if necessary)

The following section of this form must be completed in full and accepted below by a parent or guardian

Waiver (please read and check acceptance)

In consideration of being allowed to participate in any way in any or all ELITE LACROSSE tournaments and all other related ELITE activities, the undersigned:
􀂃 Agree that the parent(s) and/or legal guardian(s) will instruct the minor participant that prior to participating he should inspect the facilities and equipment used, and if the participant believes anything is unsafe, he should immediately advise his coach or the tournament director of such unsafe condition(s) and refuse to participate.
􀂃 Acknowledge and fully understand that each participant will be engaging in activities that involve risk of serious injury, including serious disability and death, and severe social and economic losses which may result not from his own actions, nonactions, or negligence, but from the actions, nonactions, or negligence of others, the rules of play, or the condition of premises or any equipment used. Further, there may be other risks not known or foreseeable at this time.
􀂃 Assume all of the foregoing risks and accept personal responsibility for damages following any injury, permanent disability, or death, which may result from participation in ELITE activities.
􀂃 Release, waive, and discharge ELITE LACROSSE and its staff, owners, administrators, directors, agents, coaches, all other employees of the organization, other participants, sponsoring agencies, sponsors, advertisers, and if applicable owners and leasers of the premises used to conduct this event (all of which are hereafter referred to as “releasees”) from any and all liability in connection with any ELITE activities.
􀂃 Agree, along with all heirs and next of kin, not to sue “releasees” for any and all claims, demands, losses, or damages on account of injury, including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the “releasees.”
􀂃 Agree that Elite Lacrosse, Inc. may use any images (i.e. pictures) gathered at Elite Lacrosse, Inc. events in any marketing and/or publicity, including internet website, in order to promote future tournaments.

I have read and accept the terms of this waiver

Parent/Guardian Name

Additional person to call in case of emergency

Emergency phone number (other than home)

Name of person making payment, as it appears on your credit card or personal Pay Pal account:

 

****Please remember to return to our Application 2008 link to make payment after you submit your registration form.****

 

 

Elite Lacrosse, Inc

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