National Lacrosse Lacrosse - Player Waiver 2010

Player Registration & Waiver

Player Registration Period September 1, 2009 - June 25, 2010

IMPORTANT INFORM

Waiver of Liability.

In consideration of participating in the adidas NATIONAL LACROSSE CLASSIC the player listed in the registration form and the parent or guardian do hereby agree for ourselves, our heirs, executors and administrators, to release, hold harmless and forever discharge Level 2 Sports LLC and the adidas NATIONAL LACROSSE CLASSIC, their officers, staff, administrators, volunteers, partners, sponsors and representatives and assigns, for and against any and all claims, actions, cause of actions, suits, judgments, and demands whatsoever directly or indirectly in connection the player's participation in the adidas NATIONAL LACROSSE CLASSIC. By completing the online registration form and clicking the Submit Registration and Release button below, I acknowledge that I have read and understand this form and further understand the terms herein are contractual and not a mere recital.

Treatment / Medical Release Authorization.

I/we being the legal guardians of the applicant authorize the staff of Level 2 Sports LLC and the adidas NATIONAL LACROSSE CLASSIC and its agents permission to request treatment to ensure the well being of our dependant. I certify that he/she is in good health and able to participate in the scheduled games. I am attaching a note explaining any physical limitations and/or required medical attention that is necessary for my son/daughter.

Authorization to Use of Photographs and Images.

I do hereby grant permission to Level 2 Sports LLC, its owner(s), officer(s), trustee(s), employee(s), agent(s), representative(s), successor(s), licensee(s) and assign(s) to photograph the image of the registered player herein, likeness or depiction. I hereby grant permission to Level 2 Sports LLC to edit, crop, or retouch such photographs, and waive my rights to inspect the final photographs. I hereby consent to and permit photographs of the registered player herein and or those of my minor children to be used by Level 2 Sports LLC worldwide for any purpose, including educational and advertisement purposes, and in any medium, including print and electronic. I understand that Level 2 Sports LLC may use such photographs without associating any names thereto. I further waive any claim for compensation of any kind for Level 2 Sports LLC use or publication of photographs of me, the registered player or those of my minor children. I hereby fully and forever discharge and release Level 2 Sports LLC from any claim for damages of any kind (including, but not limited to, invasion of privacy; defamation; false light or misappropriation of name, likeness, or image arising out of the use or publication of photographs of me, the registered player herein or those of my minor children by Level 2 Sports LLC, and covenant and covenant and agree not to sue or otherwise initiate legal proceedings against Level 2 Sports LLC for such use or publication on my own behalf or behalf of the registered players herein or on behalf of my minor children. All grants of permission and consent, and all covenants, agreements and understandings contained herein are irrevocable.

Refund Policy.

The registered participant is responsible for all registration, player fees, travel, lodging and meals.

$75 of the Player Registration Fee is non-refundable, and no refund will be granted if: (1) The regional tryout date and location is changed and, (2) a refund is requested within 14 days of the registered players regional tryout date.(mail postmark) for any reason.

Refund requests must be made in writing and sent by postal mail to:

LEVEL 2 SPORTS LLC
3723 GREENWAY LANE
OWINGS MILLS, MARYLAND 21117

Refund request must state the reason, player name, address, city, state, zip code, and most importantly the order confirmation number and date of registration.

Promotional Items.

Players registered for the Select Option, entitled to recieve an adidas promomotional item must pick-up the item directly at the regional tryout or from an authorized adidas retailer. No promotional items will be shipped or mailed. Players registered for the Select Option have 30 days from after the scheduled regional tryout to obtain the promotional item.

Additional Player Fees.

Players registered for the Basic Option and selected to a Regional Team is required to pay an additional player fee of $110. All player fees must be paid prior to the National Event.

I acknowledge and represent that I am over the age of 18, have read this entire document, that I understand its terms and provisions, and that I have given up substantial rights by siging it and sign it voluntarily.

I ACCEPT the Waiver of Liability, Treatment / Medical Release Authorization, Authorization to Use Photographs and Images and Refund Policy

I ACCEPT

Regional Tryout Location:

Player Contact Information:
First Name:
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Last Name:
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Email Address:
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Cell Phone Nr: 555-555-5555
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Address:
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City:
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State:

Zip Code:
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Date of Birth: mm/dd/yyyy
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T-Shirt Size:

High School:
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High School Coach:
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Club Team:
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Graduation Year:

Primary Position:

Dominant Hand:

Guardian Information:
Primary Guardian Last Name:
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Father First Name:
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Mother First Name:
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Primary Cell Nr:
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Primary Email Address:
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Health Insurance Provider:
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Health Insurance Policy Nr:
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Legal Guardian Initials to Accept Waiver:
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Security code:
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Do not enter anything in this field:

* indicates a required field