2023 JLLBC Athlete Registration Form

Welcome to the 2023 lacrosse season. In an effort to ease the registration process we have created this online portal for all of your athlete's information.

PLEASE NOTE: This form will complete registration for ONE (1) athlete. If you have multiple athletes, you will need to complete this for each athlete separately.

High School Athletes: This is a PARTIAL registration. Your HS registration, Pay-To-Play fee, and Athlete Physical are your responsibility outside of this registration. These are all separate from the Booster Club requirements. After completion of this Booster Club Registration, you will see a Thank You message with a link and directions on completing the HS Athlete Registration. Please complete this additional form to finalize your registration.

*All JLLBC fees are due upon the completion of this registration process.*

Athlete's Name*

First NameLast Name

Athlete's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Athlete's Birth Date*

MonthDayYear

Current Grade*

Current School*

Lacrosse Experience (Years Played)*

T-Shirt Size*

Jersey Size*

Athlete's US Lacrosse Number*

REQUIRED for all athletes in grades 3-8 - https://www.uslacrosse.org/membership

Primary E-Mail (Note: this is the email account that will receive all communications)*

example@example.com

Parent/Guardian 1 name*

First NameLast Name

Parent/Guardian 1 E-mail*

example@example.com

Parent/Guardian 1 Phone Number*

Area CodePhone Number

Parent/Guardian 2 Name

First NameLast Name

Parent/Guardian 2 E-mail

example@example.com

Parent/Guardian 2 Phone Number

Area CodePhone Number

Home Phone Number

Area CodePhone Number

Emergency Medical Form Completion- Grades K-8- REQUIRED! PLEASE COMPLETE ALL FIELDS AND SCROLL ALL THE WAY PAST THE SIGNATURE BOXES AND PRESS THE GREEN SUBMIT BUTTON TO COMPLETE THIS SECTION

I Have completed the Emergency Medical Form, signed, and pressed the green "SUBMIT" button in the window above. (Required for players in Grades K-8).*

Yes

High School Athletes are required to complete the HIGH SCHOOL ATHLETIC REGISTRATION, which includes pay-to-play fees, physical form, and school code of conduct and waivers. This is in addition to this booster club registration. It can be found on the Jackson Local School Website >> Athletics >> Athletic Registration webpage.*

I will complete the HS ATHLETIC REGISTRATION on the Jackson Local Schools website.

US Lacrosse Code of Conduct

Players, coaches, officials, parents and spectators are to conduct themselves in a manner that "Honors the Game" and demonstrates respect to other players, coaches, officials, parents, spectators and fans. In becoming a member of the lacrosse community an individual assumes certain obligations and responsibilities to the game of lacrosse and its participants. The essential elements in this "Code of Conduct" are HONESTY and INTEGRITY. Those who conduct themselves in a manner that reflects these elements will bring credit to the sport of lacrosse, themselves, their team and their organization.

It is only through such conduct that our sport can continue to earn and maintain a positive image and make its full contribution to amateur sports in the United States and around the world. US Lacrosse supports the following behaviors for those who participate in the sport or are involved in any way with US Lacrosse. The following essential elements of the "Code of Conduct" must be followed:

Sportsmanship and teaching the concepts of fair play are essential to the game and must be taught at all levels and developed both at home and on the field during practices and games.
The value of good sportsmanship, the concepts of fair play, and the skills of the game should always be placed above winning.
The safety and welfare of the players are of primary importance.
Coaches must always be aware of the tremendous influence they have on their players. They are to strive to be positive role models in dealing with young people, as well as adults.
Coaches should always demonstrate positive behaviors and reinforce them to players, parents, officials and spectators alike. Players should be specifically encouraged and positively reinforced by coaches to demonstrate respect for teammates, opponents, officials and spectators.
Players should always demonstrate positive behavior and respect toward teammates, opponents, coaches, officials, parents and spectators.
Coaches, players, parents and spectators are expected to demonstrate the utmost respect for officials and reinforce that respect to players/teammates. Coaches are also expected to educate their players as to the important role of lacrosse officials and reinforce the ideal of respect for the official to players/teammates.
Grievances or misunderstandings between coaches, officials or any other parties involved with the sport should be communicated through the proper channels and procedures, never on or about the field of play in view of spectators or participants.
Officials are professionals and are therefore expected to conduct themselves as such and in a manner that demonstrates total impartiality, courtesy and fairness to all parties.
Spectators involved with the game must never permit anyone to openly or maliciously criticize, badger, harass or threaten an official, coach, player or opponent.
Coaches must be able to demonstrate a solid knowledge of the rules of lacrosse, and should adhere to the rules in both the letter and the spirit of the game.
Coaches should provide a basic knowledge of the rules to both players and spectators within his/her program. Attempts to manipulate rules in an effort to take unfair advantage of an opponent, or to teach deliberate unsportsmanlike conduct, is considered unacceptable conduct.
Eligibility requirements, at all levels of the game, must be followed. Rules and requirements such as age, previous level of participation, team transfers, etc, have been established to encourage and maximize participation, fair play and to promote safety.

DO NOT E-SIGN UNTIL YOU HAVE READ THE ABOVE STATEMENT.

By my eSignature below, I certify that I have read, fully understand and acknowledge the above Code of Conduct and pledge that I, as a parent/guardian or as a player/athlete will follow these guidelines. Please signify your acceptance by entering your full name in the box below

Code of Conduct Pledge*

I take this pledge seriously and will do my part to abide by these guidelines.

Parent/Guardian eSignature*

Player/Athlete eSignature*

Registration Fees (Choose ONE)*

Bear Cubs (K-2) Registration -- Using Personal Equipment -- $ Free

Registration FREE; Player supplies their own stick.

Bear Cubs (K-2) Registration -- NEED TO RENT EQUIPMENT --$30.00

Registration FREE + $30.00 Rental Fee for stick

Youth Team 3/4 Registration$125.00

Youth Team 5/6 Registration --$180.00

Middle School Team 7/8 Registration --$250.00

High School Team Registration --$350.00

Total $0.00

2023 Jackson Ladies' Lacrosse

US Lacrosse Code of Conduct