PRO PLAYER SPRING TOURNAMENT
REGISTRATION FORM
 
 

To apply for the Pro Player Spring Tournament:
1. Fill in the Application Form on the computer and print out a copy, OR print out a copy and fill it out with a pen.

2. CLICK HERE for the Pro Player Camps MEDICAL RELEASE FORM. This must be completely filled out and brought to the first day of camp.

 
CONTACT NAME
 
   
ADDRESS
 
CITY
 
STATE
 
     
ZIP
 
     
   
PHONE
 
WORK PHONE
 
EMAIL
 
   

TEAM NAME
 
TEAM GRADE
 
LEVEL OF PLAY
  B
AGE
 

CAMP TUITION
BOY'S TEAM TOURNAMENT
$400
 
GIRL'S TEAM TOURNAMENT
$400

TOTAL
 
PAYMENT
 
CHECK ONE ONLY
My FULL PAYMENT (shown ablove) is enclosed
My NON-REFUNDABLE DEPOSIT of $175.00 is enclosed
 
BALANCE DUE         
 
ENROLLMENT

Team space is limited, so please fill out your application and send in along with a contact number and a $200.00
deposit by April 8th. Your team roster, waiver and final payment may be brought with you on the first day of the
tournament. To check availability after the 15th and for further tournament details, please call (631) 868-0203 or
visit our website at WWW.PROPLAYERLACROSSE.COM. Please make checks payable to Pro Player Lacrosse
Camps. Confirmation of enrollment will be e-mailed to the contact person.

 
           
 
PLEASE MAIL APPLICATION AND PAYMENT TO:
Pro Player Lacrosse Camps
P.O. Box # 610 Bayport, NY 11705 
Phone 631-750-5978
 
   
MAKE CHECKS PAYABLE TO:  Pro Player Lacrosse Camps
   

 

 

PRO PLAYER SPRING TOURNAMENT
Waiver of Liability and
Assumption of Risk Agreement
     

For consideration of being allowed participation in the Pro Player Lacrosse Tournament and related activities, the undersigned:

1. Acknowledges and fully understands that each participant will be engaging in activities that involve risk of serious injury, including permanent disability and death, severe social and economic losses of which might result not only from their own actions, but from the actions of negligence of others, the rules of play, or of any equipment used, further, that there may be other risks not known to us or not reasonably foreseeable at this time.
2. Assume all the foregoing risks and accepts personal responsibility for the damages following such injury, permanent disability or death.
3. Release, waive, discharge and covenant not to sue Pro Player Lacrosse Camps directors, officers, officials, emplyees, other participants, sponsoring agencies, owners and leaseholders of premises used to conduct the event of which are herein after referred to as “releasees”or otherwise.
4. Further, I agree to allow my child to be treated by the Athletic Trainer in the event of an emergency or injury.
**I for myself and on behalf of my heirs, personal representitives and next of kin have read this release of liability and assumption of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without inducement.

     
TEAM:  ________________________________________________ GRADE:  ________________________________
     
PLAYER NAME (PLEASE PRINT) ADDRESS SIGNATURE OF PARENT OR GUARDIAN
_________________________ _________________________________ ___________________________________
_________________________ _________________________________ ___________________________________
_________________________ _________________________________ ___________________________________
_________________________ _________________________________ ___________________________________
_________________________ _________________________________ ___________________________________
_________________________ _________________________________ ___________________________________
_________________________ _________________________________ ___________________________________
_________________________ _________________________________ ___________________________________
_________________________ _________________________________ ___________________________________
_________________________ _________________________________ ___________________________________
_________________________ _________________________________ ___________________________________
_________________________ _________________________________ ___________________________________
_________________________ _________________________________ ___________________________________
_________________________ _________________________________ ___________________________________
_________________________ _________________________________ ___________________________________
_________________________ _________________________________ ___________________________________
_________________________ _________________________________ ___________________________________
_________________________ _________________________________ ___________________________________
_________________________ _________________________________ ___________________________________
_________________________ _________________________________ ___________________________________
_________________________ _________________________________ ___________________________________
_________________________ _________________________________ ___________________________________
_________________________ _________________________________ ___________________________________