BE LAX Registration 2012

Please provide the name and contact information for the primary parent or guardian of the player.

Example: (425) 555-1212

Example: (425) 555-1212

I/We the parent(s) or guardian(s) of the before named applicant to Bellevue Girls Lacrosse Association, hereby give my/our approval to said applicant's participation in any and all Bellevue Girls Lacrosse Association activities during the current season. I/We assume all risks and hazards incident in such participation, including transportation to and from the activities; and I/We do hereby waive, release, absolve, indemnify, and hold harmless the Bellevue Girls Lacrosse Association, its volunteers, sponsors, supervisors, participants, and any person transporting the applicant, except to the amount covered by accident or liability insurance. I/We will furnish a certified birth certificate of the applicant upon request of the Bellevue Girls Lacrosse Association. I/We agree to be financially responsible for Bellevue Girls Lacrosse Association equipment issued to the applicant other than normal wear and tear or breakage that may occur in practices and games. I/We will reimburse the Bellevue Girls Lacrosse Association for the loss and or damage of equipment. I/We approve the use of photos & image of the above-named applicant in promotional materials of the Bellevue Girls Lacrosse Association. I/We certify that to the best of my knowledge, all of the above information is accurate and correct and that any false information may be cause to disqualify the applicant.

I/We, the parent(s) or guardian(s) of the applicant, give my/our permission for any emergency treatment by any qualified individual, necessary either on the practice fields or game fields. I/We authorize any hospital and/or physician to perform emergency treatment for any injuries resulting from any authorized Bellevue Girls Lacrosse Association function, including transportation to and from said function. This release expires on December 31, 2012.

We the parent(s)/guardian(s) AND lacrosse player have read the Concussion Information & Awareness document, understand it, and agree to abide by its guidelines. Additionally, we have read the Code of Conduct document, understand it, and agree to abide by its requirements.

All t-shirts are available in Women's sizes. Select the size you want. The cost of the t-shirt is included in the Registration fee.

Shorts will be available in both youth and women's sizes. Select the size you want. The cost of the shorts is not included in the registration fee. We place a bulk order with a local vendor, so that the uniforms match and to keep costs down. For this age group, purchasing matching shorts is recommended but not required (plain navy-blue soccer shorts are acceptable); the cost and source for the matching shorts will be provided when practices start in the Spring.

Shorts will be available in both youth and women's sizes. Select the size you want. The cost of the shorts is not included in the registration fee. We place a bulk order with a local vendor, so that the uniforms match and to keep costs down. For this age group, purchasing matching shorts is strongly recommended but not required (plain navy-blue soccer shorts are acceptable); the cost and source for the matching shorts will be provided when practices start in the Spring.

Shorts will be available in women's sizes. Select the size you want. The cost of the shorts is not included in the registration fee. We place a bulk order with a local vendor, so that the uniforms match and to keep costs down. For this age group, purchasing matching shorts is required; the cost and source for the matching shorts will be provided when practices start in the Spring.