Lancaster Boys Lacrosse Clinic

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Lancaster Boys Lacrosse Clinic - FREE!

Who: Open to all boys in Grades 3 through 10th.
When: Tues., July 23rd & Wed., July 24th from 10am-12 Noon
Where: Lancaster High School - Playing fields

Player's Name *

Player's Grade Level 2019/2020 *

Player's Position

Midfield/Attack

Defense

Goalie

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Years of Experience playing *

Parent/Guardian Name *

Parent/Guardian Emergency Contact Number *

Parent/Guardian Email Address

Medical Concerns/Allergies/Other Conditions *

Accident Waiver and Release of Liability Acknowledgment Form: *

I/We the parent(s)/guardian(s) certify that the participant has been examined by a licensed physician within the school year of 2018–2019 and according to physician, is free from any illness, injury or condition which would limit participation in the Lancaster Boys Lacrosse Clinic. I/We hereby assume all of the risks involved while participating in this Lacrosse Clinic. I/We hereby release, discharge, hold harmless, and promise to indemnify the Lancaster Boys Lacrosse Program/Coaches/Staff, Lancaster Central School District, Erie County, and their trustees, officers, employees and agents from any and all causes, liabilities, damages, claims or demands whatsoever on account of any injury (including death) or accident involving the participant in the Lacrosse Clinic. I/We also hereby authorize the coaches/staff to act in my/our behalf and for me/us according to their best judgment in a situation requiring first aid or medical attention for the participant. If such a situation arises,I/we authorize said persons to request pertinent medical attention and information on my/our behalf and I/we hereby release those providing such information from any liability that might result. I/We acknowledge that this Accident Waiver and Release of Liability Form will be used by the organizers of the Lancaster Boys Lacrosse Clinic in which I may participate and that it will govern my actions and responsibilities at said Lacrosse Clinic. I/We also confirm that all the above information is complete,accurate and correct to the best of my/our knowledge.

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