Santa Rosa Lacrosse - 2022 Fall Clinics -Player Registration & Liability Waiver
FREE Boys Lacrosse Clinics -  Come Learn And Play With Us! 
  • Location: Montgomery High School Turf Fields — 1250 Hahman Dr, Santa Rosa, CA 95405
  • Dates: SUNDAYS 10/2, 10/16, 10/23, 10/30, 11/6, 11/13 (no clinic on 10/9)
  • Times: 11:00 am - 1:00 pm
  • Cost: Free
  • Contact us: info@santarosalacrosse.com
About the Program - 
Open to New Players and Returning
Boys 1st Grade - 8th Grade
  • Throw around and small scrimmages for returning players.
  • New players will break out to learn the basics.
  • Field will be split into 2 age groups 10U and below and 12U and above.
  • Equipment provided for new players to try lacrosse. Bring equipment if you own it.
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Email *
Second Parent Email Contact - optional
Player First Name *
Player Last Name *
Player Birthdate *
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Current School
Player Current Grade *
Player Skill Level:  *
Required
# of Seasons Played *
Do you need to borrow a lacrosse stick? *
Parent/Guardian First and Last Name *
Parent/Guardian Cell Phone Number *
Santa Rosa Lacrosse Club's 2022 Fall Lacrosse Clinics GENERAL LIABILITY WAIVER

In consideration of being allowed to participate in the event or activity referenced above, I acknowledge, appreciate, and agree 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, and personal discipline may reduce this risk, the risk of serious injury does exist; and,

2) I KNOWINGLY AND 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 the Releasees, 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, to the fullest extent permitted by law.

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.

By Typing my full name below, I/WE HAVE READ THE ABOVE WAIVER AND RELEASE, UNDERSTAND THAT WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND SIGN IT VOLUNTARILY for the Santa Rosa Lacrosse Club's 2022 Fall Lacrosse Clinics *
How did you hear about our Free Clinics? *
Required

PHOTO RELEASE. By participating in Santa Rosa Lacrosse Club teams, clinics, activities or events, you hereby give permission, without any monetary or other consideration, to Santa Rosa Lacrosse Club to use, publish, copyright, reuse and republish all photographs/videos of you or your minor which Santa Rosa Lacrosse Club and each of their affiliates, volunteers, owners, directors, officers, agents and executive committee has taken. In addition, you waive any right to approve the finished photograph as well as any  copy used in conjunction with the photograph.  Further, you (on behalf of yourself and your heirs) forever release, discharge and hold harmless Santa Rosa Lacrosse Club, and each of their affiliates, owners, directors, officers, employees and agents from any liability in connection with the foregoing.


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