Cougar Lacrosse Summer Camp
Registration Form
July 22, 23, 25 (Monday, Tuesday, Thursday)
6:30-8PM at STM Cougar Stadium
A fun, fast-paced camp with instruction for new and experienced players. Instructors include STM Coaching Staff, current and former STM Lacrosse players.
For boys and girls, grades 3-8. All lacrosse experience levels welcome. Lacrosse beginners will receive instruction on basics and fundamentals of lacrosse, a general introduction into the game, while experienced players will receive in depth, position-specific training to develop lacrosse IQ and prepare them for upcoming fall lacrosse season. Players must have active USA Lacrosse membership to attend, which can be set up through usalacrosse.com - email Coach at stmlax@stmcougars.net for more information.
Student-Athlete Name
*
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*
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*
USA Lacrosse Number
*
Grade Level (2024-2025 School Year)
*
Does the athlete have any allergies, chronic illness, or medical conditions? If yes, please describe.
*
Consent and Acknowledgement:
I hereby give my approval for my child’s participation in any and all activities prepared by Byrnes Tatford during the selected camp. In exchange for the acceptance of said child’s candidacy by Byrnes Tatford, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Byrnes Tatford and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions. In case of injury to said child, I hereby waive all claims against Byrnes Tatford, including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.
Medical Release and Authorization:
As Parent and/or Guardian of the named athlete, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed. Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me. Permission is also granted to the {Organization} . and its affiliates including Directors, Coaches, and Team Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility. Release authorized on the dates and/or duration of the registered season. This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.
Confirmation:
BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
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Cougar Lacrosse Summer Camp - Paypal/Venmo
$
125.00
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Pay by cash or check on first day of camp
Bring cash or check made out to Byrnes Tatford on Monday, July 17
$
Free
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