Individual Player Registration form

All players MUST complete this on-line form & pay on line via credit card

All Fields Required

Player's First Name: 
Last Name: 
Current Grade:  Current High School: 
Player's Position:  Secondary Position: 
Tournament Team Name (Be Specific, ie: TSL BLack Team):  
Home Street Address: 
City:  State: 
Zip:  Home Phone: 
Mom's Name:  Mom's Cell: 
Dad's Name:  Dad's Cell: 
Parent's Email: 
Name of Insured: 
Relation to Participant:     
Health Insurance Company: 
Policy Authorization Number: 
 
Player's Legal Guardian(s) Name(s) (If you are 18 years or older you
may type your own name:
Medical Info. Does your child have any allergies, medical conditions, special needs, or take any medications that would in any way restrict their participation in the Charlotte Fall Lacrosse Classic (CFLC)?  

If yes, describe conditions and/or medications:

With exceptions noted above, I certify that my child is in good physical condition and is fit to participate in the CFLC tournament.

Disclaimers

Medical Treatment. I hereby consent to my child participating in the Charlotte Fall Lacrosse Classic (CFLC).  I consent and grant permission to the coach and / or assistant coach, or any authorized CFLC official, to obtain any medical care necessary as a result of injuries sustained by my child in this activity.

Photo Release & Waiver. I hereby grant CFLC and its successors, assigns and licensees, permission to use pictures taken of my child in publications and other media use, exhibit and display my child's picture in connection with any public materials produced by or for CFLC.  This permission is freely given without remunerative consideration of any kind.

A. Armature Athletic Waiver and Release of Liability.  In consideration of being allowed to participate in any way in the CFLC tournament, the undersigned parent(s) or legal guardian(s): 1.Agree to instruct the minor participant that prior to participating, he should inspect the facilities and equipment to be used, and if the participant believes that anything is unsafe, he should immediately advise his coach or supervisor of such condition(s) and refuse to participate. 2. Acknowledge and fully understand that each participant will be engaging in activities that involve risk of serious injury, including permanent disability and death, and severe social and economic losses which may result not only from their own action, inaction, or negligence, but action, inaction or negligence of others, the rules of play, or condition of the premises or any equipment used.  Further, that there may be other risks not known to us or reasonably foreseeable at this time. 3.Assume all of the above risks and accept full personal responsibility for the damages following any such injury, permanent disability, or death. 4.Release, waive, discharge, and promise not to sue and otherwise agree to hold harmless, MYL, LLC, StickWithUs.org, CFLC, as well as, sponsors, managers, coachers, participants and other person associated with the LCC program, and owners / leasors of premises used to conduct the event from any and all liability for injuries sustained by my child in this activity.

B. Player's Code Of Conduct. Purpose: The CFLC seeks to provide a great lacrosse experience for all its players, parents, and coaches.  CFLC believes that a quality organization is measured by it’s conduct and attitude both on and off the field.  CFLC feels that how the game is played is even more important than winning itself.  In pursuit of this goal, we have adopted this Code of Conduct and Sportsmanship policy.  Players:  As a member of a team and an organization your actions reflect on your teammates and the rest of CFLC.  You are expected:  To play the game for the game’s sake; for the fun of it.  To treat your coach, teammates, officials and opponents with respect.  To avoid inappropriate behavior during practices, games.  To control your emotions.  To make a reasonable attempt to attend all games.  To attempt to win through your skills, effort and tactics; to always be fair.  To take victory modestly and defeat graciously.  To adhere to the rules of the game & confirm to the rules established by the CFLC.
Signature of Participant: 
Date: 

FOR ANY PARITICPANT WHO IS NOT YET 18 YEARS OLD: As legal guardian of this participant, I hereby verify by my signature below that I have read and fully understand each of the above conditions for permitting my child to participant in the Charlotte Fall Lacrosse Classic and any StickWithUs.org, LLC and MYL, LLC sponsored events and activities and I accept each of the above conditions, especially the waiver and release set forth in paragraph A.

Signature of Parent: 
Date: 
I have read, understood, and agreed with the above information:
Fee due with registration: $

Then After clicking the submit button, you will be taken to a page to be printed for your records and you can pay online.


The submit process may take up to a minute. Please do not press the Submit button more than once.