Legacy Classic Player Profile
High school player profile
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Email *
Name *
Emergency Contact *
Emergency Contact phone number *
Cell Phone *
YOG *
Position *
High School *
Club Team *
Current GPA *
SAT/ACT (if available) *
I hereby accept all terms and conditions as outlined below by electronically signing your name under each statement: . *
As the parent or legal guardian of the above named registrant in the Legacy Lacrosse programs, I hereby give my son/daughter permission to participate. I have read this application and the program rules and regulations thoroughly and I understand and agree to abide by all aspects of them. I understand that lacrosse is a contact sport in which injury, even serious injury, may occur and I assume all risks and hazards incidental to their participation in this program. I further release Legacy Lacrosse, its staff, affiliates, and the host facilities from all liability associated with my son/daughter’s participation in this program. I understand that my registration fee is non-refundable and non-transferable, except as specifically allowed by Legacy Lacrosse. I also grant Legacy Lacrosse, its staff and designees, permission to seek emergency medical care for my son/daughter. I certify that the insurance information provided is correct and current and agree to assume all responsibility for any medical expenses incurred.                                                                     *
I agree that I shall provide health insurance to cover any personal injury and/or property damage sustained by the camper while participating in any activities or while on the premises of the host facilities. The undersigned assumes all responsibilities for any and all risk of damage or injury that may occur to the above named camper as a participant in any Legacy Lacrosse Program including practices, scrimmages, skills sessions, clinics, games, tournaments, and other activities related to the program. Additionally, the undersigned hereby releases and discharges the program, its operators, employees, agents, supervisors, instructors, and other players from all claims, demands, rights or causes of action present or future, whether known or anticipated and resulting from or arising out of or incident to the undersigned participation in the said program.                                 *
COVID-19 Screening Questionnaire:  Laxachusetts and Legacy LLC would like to help ensure the Health and Safety of all our players, and coaches during the COVID- 19 pandemic. Out of an abundance of caution we would like our parents to check the temperature of the parent and player attending our tournament..In accordance with CDC guidance any potential attendee with a temperature at or above 100.4-degrees Fahrenheit must not come to the tournament and should consider contacting their health care provider.As an additional early warning process, Laxachusetts and Legacy LLC is asking all session attendees to complete the below questionnaire. This is to help you and us identify high risk individuals who may not be displaying symptoms yet. If you or your daughter could be perceived as high risk, (and answers "yes" to any of the questions below) please do not attend a session or sessions.  COVID-19 Self-Checklist➢ Have you had a Fever (temperature over 100.3F) without having taken any fever reducing medications in the last 24 hours?➢ Do you have a Loss of Smell or Taste?➢ Do you have a Cough?➢ Do you have Muscle Aches?➢ Do you have a Sore Throat?➢ Do you have Shortness of Breath?➢ Do you have Chills?➢ Do you have a Headache?➢ Have you experienced any gastrointestinal symptoms such as nausea/vomiting, diarrhea, loss of appetite?➢ Have you, or anyone you have been in close contact with, been diagnosed with COVID-19, or been placed on quarantine for possible contact with COVID-19? ➢ Have you been asked to self-isolate or quarantine by a medical professional or a local public health official?Thank you for your patience and understanding.For the purposes of this questionnaire, direct contact means:a)    Greater than 15 minutes face-to-face contact in any setting with a presumptive or confirmed case in the period extending from 24 hours before onset of symptoms in the confirmed caseb)    Sharing of a closed space with a presumptive or confirmed case for a prolonged period (e.g. more than 2 hours) in the period extending from 24 hours before onset of symptoms in the confirmed case.If you answer YES to ANY of the questions below, do NOT attend the tournament. Contact Abbey Simone (asimone@laxachusetts.com) or Tracey Sullivan (tracey@laxachusetts.com)If you feel you may be at a higher risk from contracting COVID-19, Laxachusetts, Inc encourages you to practice prudent social distancing and consider whether your presence at exercise and skills sessions is dangerous for you and/or the other attendees. *
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