*DO NOT REGISTER IF YOUR SCHOOL IS NOT LISTED OR MARKED AS FULL. YOUR REGISTRATION WON'T BE COUNTED. 2018 Fall Northstar Indoor Registration DEADLINE OCT 16th - Still Accepting Middle School/ Youth Players!
ANY AND ALL QUESTIONS SHOULD BE EMAILED TO NORTHSTARLACROSSEOH@GMAIL.COM Please complete ALL the information below for Youth, Middle School and High School Players;
Indoor Game Location: Stars Indoor Sports, LLC 6124 Busch Blvd. Columbus, Ohio 43229
Player forms should be completed online - any questions please email NorthstarlacrosseOH@gmail.com
Cost: $130 PER Player.

Checks should be made out to Northstar Lacrosse LLC and mailed to;
Northstar Lacrosse 5375 Snider Loop, New Albany OH 43054
$130 per player. Please put your daughters name in the Subject Line.

8 week program, includes Northstar reversible
We play on Monday nights;
October 29
November 5, 12, 19, 26
December 3, 10, 17
No Refunds

Game times will be emailed October 15th. Games will be at the following times; 5pm, 6pm or 7pm.
Youth/ MS players will play at 5pm each week on field 2 (youth and middle school is part instruction part scrimmage)

NO JEWELRY - No player will be allowed to play with any jewelry- this includes EARRINGS. NO EXCEPTIONS.
NO CLEATS. PLAYERS MUST WEAR ANY FLAT BOTTOM, TENNIS OR SNEAKER SHOE. DUE TO NEW TURF AT THE FACILITY, PLAYERS CANNOT WEAR CLEATS. This is a facility rule and we will not allow players to wear cleats.

High School games are 5 v 5 rotations in 2-3min interval open play with 2 ref's and 1 coach on each field. Youth/ Middle School is 30 minute of coaching/drills followed by 30min of play with 3 coaches on field 2.

First Name *
Your answer
Last Name *
Your answer
Birthdate *
xx/xx/xxxx
Your answer
Grade *
Player Position
*DO NOT REGISTER IF YOUR SCHOOL IS NOT LISTED OR MARKED AS FULL. YOUR REGISTRATION WON'T BE COUNTED. High School Team - Middle School/ Youth Please Select Middle School/ Youth *
Address (street, city, state, zip) *
Your answer
Contact Number *
Your answer
Parents Email Address
Double Check Email is CORRECT! (we will not correct bounced back emails)
Your answer
Additional Email Address
Your answer
Players Email Address *
Double Check Email is CORRECT! (we will not correct bounced back emails)
Your answer
Reversible Size *
US Lacrosse Number - Example 5558961
If you don't have a US Lacrosse number please register at USlacrosse.org
Your answer
US Lacrosse Expiration Date Must be valid through Jan 1, 2019
Example: 01/15/2019
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Number *
Your answer
Any additional medical conditions our coaching staff should be made aware of, please list below along with any additional contact names and numbers.
Your answer
As evidenced by my signature below, I hereby acknowledge that my daughter/player/ participant, is physically able to participate in competitive lacrosse and that I know of no restrictions, physical impairments, or any other facts which in any manner limit her participation in such a program. I give permission for my child to receive emergency medical or surgical treatment and hospitalization if necessary. I hereby authorize my daughter, to consent to medical treatment, including consent to transportation of the child. I understand that every attempt will be made to contact me before taking this action. In signing this application, I release the NorthStar Lacrosse LLC coaches, managers, Stars Indoor Sports LLC and other involved parties from any claims or responsibility for injuries suffered in the Club. I knowingly assume all risks associated with participation, even if arising from negligence of the participants, coaches, Stars Indoor Sports LLC or others, and assume full responsibility for my participation. I understand that NorthStar Lacrosse LLC will not provide a licensed trainer. I have read the Ohio Department of Health's Concussion Information Sheet and understand that I have the responsibility to report my child's symptoms to coaches. I also understand that my child must have no symptoms before returning to play. https://www.odh.ohio.gov/-/media/ODH/ASSETS/Files/health/child-injury/Youth-Concussion/Attachment-3-ODH-Concussion-Information-SheetFor-Interscholastic-Athletics.pdf?la=en *
Please check the box below to confirm your signature. By checking the box you are confirming your signature
Payment Information / Additional Info
Unsportsmanlike conduct or dangerous play (red card) will result in a players removal from the game and remainder of the indoor program. No refunds will be given.

* No jewelry will be allowed
* No cleats (must wear a flat bottom shoe)
* Be sure to include your daughters name in your Check Subject Line

Checks should be mailed to Northstar Lacrosse 5375 Snider Loop, New Albany OH 43054 and made out to Northstar Lacrosse LLC - Please put players name in Subject Line on check.
Cost: $130 PER Player

DEADLINE: Oct 16th.
Late registrations will be charged $150 (if there are spaces open)

Questions: Email Us at NorthstarLacrosseOH@gmail.com

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