Phillylacrosse.com, Posted 8/23/16
Registration is open for the Phantastix lacrosse club 2016-17 year tryouts for 2020 through 2024 girls on Sept. 10 & 24 at Archbishop Carroll.
PHANTASTIX LACROSSE TRYOUTS for PURPLE AND WHITE TEAMS
FALL 2016 AND SUMMER 2017
Ages: 2020, 2021, 2022, 2023, 2024
Saturday, Sept 10
2-3:30 —– 2019, 2020, 2021
3:30-5 —– 2022, 2023, 2024
Saturday, Sept 24
9-10:30 —-2019, 2020, 20221
11-12:30 — 2022, 2023, 2024
Location: Archbishop Carroll High School, Front Lacrosse Field, 211 Matson Ford Road, Radnor, PA 19087
Please mail registration form and signed waiver to: CAC, Inc., 408 Virginia Ave Phoenixville, PA 19460 (*walk up registration also accepted, please come ~20 minutes early*)
City________________, State _______________ Zip_______________
Parent Cell Phone _____________________________________________
School _________________________________ DOB_____/_____/_____
Position_____________ Parents’ Names___________________________
US Lax Member # __________________ Exp. Date _________________
(*Required for registration confirmation & for Club acceptance notices)
Amateur Athletic Waiver
READ BEFORE SIGNING
In consideration of being allowed to participate in any way in the CAC, Inc.’s athletic sports program, related events and activities, the undersigned acknowledges, appreciates & agrees that:
1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment & personal discipline may reduce this risk, the risk of serious injury does exist; and
2. I KNOWINGLY & FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and
3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and
4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS CAC, INC., Phantastix Lacrosse, CrosseFIRE Lacrosse, their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”). WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.
I 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 ANY INDUCEMENT.
Participant’s signature Date
FOR PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT TIME OF REGISTRATION)
This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to her release as provided above of all the Releasees, and for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child’s involvement or participation in these programs as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE.
Participant’s signature Date