McNary Lacrosse Club - (Salem, OR) - powered by LeagueLineup.com

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2024 McNary Lacrosse Registration

PLAYER INFORMATION

* First Name:

* Last Name:

* Street:

* City:

* State:

* Zip Code:

Player's Phone Number:

* Birthdate:

Player's Email Address:

* Gender:

* Grade:

* School:

PARENT/GUARDIAN #1

* Firstname:

* Lastname:

* E-Mail:

* Primary Phone:

PARENT/GUARDIAN #2

Firstname:

Lastname:

E-Mail:

Primary Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

* Emergency Contact:

* Phone:

* Relationship to Player:

* Insurance Carrier:

* Policy #:

Please indicate N/A below if none apply.

* Allergies:

* Medications player is taking:

* Any other medical conditions:

LIABILITY WAIVER

By checking the box below, the Player and his or her Parent and/or Guardian voluntarily and knowingly assume the risk of participating in MCNARY LACROSSE ACTIVITIES and agree to defend, indemnify, hold harmless and release, MCNARY LACROSSE and the MCNARY LACROSSE BOARD MEMBERS, MCNARY HIGH SCHOOL, the SALEM-KEIZER SCHOOL DISTRICT, the OREGON HIGH SCHOOL LACROSSE ASSOCIATION, the OREGON GIRLS LACROSSE ASSOCIATION, its sponsors, playing sites, event organizers, coaches, officials, land lords and volunteers from any and all liability therefore.

We (parent/player) agree to the above waiver. *

MCNARY LACROSSE HANDBOOK ACKNOWLEDGEMENT

Player and Parent/Guardians are responsible for reading and knowing all program information, expectations and requirements presented in the McNary Lacrosse Handbook, available on the McNary Lacrosse website or available by request at registration events.

By checking the box below, the player and parent/guardians acknowledge they will read and review the McNary Lacrosse Handbook, and agree to adhere to all the requirements and expectations presented in the Handbook.

We (parent/player) acknowledges they will agree to adhere to the requirements and expectations presented in the McNary Lacrosse Handbook. (final revision to be distributed prior to first day of practice). *

COVID-19 PROTOCOLS

Player and Parent/Guardian agree to follow and abide by any and all COVID-19 related protocols in place by OHA, Salem Keizer School District, OHSLA, OGLA, McNary High School and McNary Lacrosse.

ALL PLAYERS WILL ALSO SUBMIT A CURRENT PHYSICAL FORM & REQUIRED CONCUSSION PROTOCOL FORMS PRIOR TO PARTICIPATION IN REGULAR SEASON.

FINANCIAL COMMITMENT

* PARENT SIGNATURE (FIRST & LAST NAME):

* PLAYER SIGNATURE (FIRST & LAST NAME):

* indicates required fields

Full payment by Check, Paypal or Venmo by 02/10/2024($575)

Payment Option (1st Installment Payment on 02/10/24)($400)

Second payment (Remainder 3/10/2024)($175)