Black Star Lacrosse High School Fall Box 2023 Registration
This form is for High School aged participants (Ages 14 and older). 

***Package 1 (Local)***

Sierra Canyon Box Lacrosse League (Chatsworth, CA)
8 Saturday Games (Double headers) | Possible dates: Sept. 9, 16, 23, 30, Oct. 14, 22
Game Location: Chatsworth, CA

Box Mini Camp Evaluations
Dates:  Saturday, August 26 
Times: 5-7PM
Location: Wilson Hockey Rink (Torrance, CA)

Practices (Sundays)
Dates: September 3, 10, 17, 24, Oct. 1, 8 & 15.
Time: 6-8PM
Location: Wilson Hockey Rink (Torrance, CA)
Cost: $650

Scrimmage Practice
Friday September 1
Time: 5PM-7PM
Location: Wilson Hockey Rink (Torrance, CA)

Box Lacrosse Uniform Included (Jersey and Shorts)

*Package 2 (Dallas Box Lacrosse Tournament)*
Dallas Box Lacrosse Tournament (McKinney, TX)
*Airline Ticket not included*
Dates: October 7-8 (includes lodging for Friday October 6,7 and 8).
Times: All day
Game Location: Allen, TX

Box Mini Camp Evaluations
Dates: August 25, 26 (Friday & Saturday)
Times: 5-7PM
Location: Wilson Hockey Rink (Torrance, CA)

Practices (Sundays)
Dates: September 3, 10, 17, 24, Oct. 1, 8 & 15.
Time: 6-8PM
Location: Wilson Hockey Rink (Torrance, CA)
Cost: $700

Box Lacrosse Uniform Included (Jersey and Shorts)

***$1250 for both packages (flight ticket/travel not included)**
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Email *
Untitled Title
Player First & Last Name *
Player Email Address *
Player Phone Number
Parent/Guardian First & Last Name *
Parent/Guardian Email Address *
Parent/Guardian Phone Number *
Player Date of Birth *
MM
/
DD
/
YYYY
Position *
High School *
Graduating Year *
High School Coach Name
High School Coach Phone Number
High School Coach Email
Years Playing Lacrosse *
Which Leagues/tournament(s) do you wish to play? *
Did your son recently play Middle School Youth Lacrosse, Junior Varsity or Varsity? *
I want to volunteer with snacks, team meals, etc.
Uniforms
Jersey Top Size?
*
Required
Uniforms
Uniform Shorts Size?
*
Required
USBoxLA  *
USBOXLA Memership Required. Please register at https://www.usalacrosse.com/membership 

Then type your membership number in.

Release of Liability

I/we certify by accepting these terms and conditions that the applicant named has my/our permission to participate in the Black Star sports programs (including any Speed & Agility camps, skills camps, skills evaluation, and tryout sessions) and I/we assume all the risks and hazards associated with such participation, including transportation to and from Black Star activities. I/we hereby waive, release, absolve, and indemnify Black Star's officers, directors, commissioners, managers, coaches, supervisors, participants, and persons transporting my/our child to and from Black Star activities, from and against any liability for, or claim arising out of any accident or injury to said applicant occurring during the course of his/her participation in such activities or his/her transportation to or from such activities including by not limited to the sole or concurrent negligence of the Black Star, its officers, directors, commissioners, managers, coaches, supervisors, umpires, referees, participants, and persons, participants and persons transporting my/our child to and from Black Star activities. 

I/we hereby also waive, release, absolve, and indemnify any trainers, instructors, coaches, and organizations engaged by Black Star (regardless of whether paid by Black Star) to assist with or operate any Black Star sports program, Speed & Agility camp, skills camp, skills evaluation, or tryout session, from and against any liability for, or claim arising out of any accident or injury to said applicant occurring during the course of his/her participation in such activities. 

I/we certify that it is understood that my payment is an enrollment fee only and the registrant will be assigned to a team determined by the Black Star at its sole discretion. 

I/we authorize the coaches of my child's team to act for me according to their best judgment in any emergency requiring medical attention. 

*
Required

Code of Conduct

We (Player & Parents/Guardians) further agree to abide by ALL Black Star rules and to conduct ourselves in a sportsmanlike manner during all Black Star related activities. We further agree to abide by all directions and decisions of the referees, coaches, and officials of the Black Star Program. We realize that violations of the above are consequential and could result in suspension(s) for one (1) or more games, practices and events.

*
Required

Media Waiver 

I/we give my/our consent for photographs taken of me or my child during Black Star games or events to be used for publicity purposes: on the Black Star website, in brochures and flyers and news releases, and in presentations to future prospective program participants. I/we understand that I will receive no compensation for such uses. I/we retain the right to have any photographs discontinued from use in any or all of the above venues upon request, and if, at any time, I/we wish my/our photograph(s) to be discontinued from any of the above, it is my/our responsibility to contact the program director to make this request.

*
Required
Registration Fee for the events you wish to participate?
Payment Method
Zelle: 516-428-8898
Paypal: AngelCityLax@gmail.com
CashApp: $blackstarlax
*
A copy of your responses will be emailed to the address you provided.
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