Saponi Stickball/Lacrosse Membership Registration Form

Saponi Stickball Membership Registration

Please complete the form below to sign up
Member Name*

First NameLast Name
Birth Date (ages 5+)*

YearMonthDay
Parent or Legal Guardian

First NameLast Name
Phone Number:*

Area CodePhone Number
Emergency Contact

First NameLast Name
Emergency Contact Phone Number

Area CodePhone Number
E-mail (for club newsletters and invoicing)*
Address:*

Street Address

Street Address Line 2

City

Zip Code
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Medical Conditions
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While being a member of a National Lacrosse organization is not required by Saponi Stickball for normal, in club activities, it is recommended, and is required for tournament play and participation in clinics and events at other Lacrosse clubs and venues. Members of US LAXs also receive nominal insurance benefits that can offset the cost of injuries sustained during sanctioned events and practices. US LAX members have the added benefit of having their rank promotions nationally verified and universally recognized. Please ask a coach about how to join.
United States Lacrosse AssociationAny NC Lacrosse TeamsOther
US LACROSSE Member Number
A Friend or colleagueOnline Search (Google, Bing, Yahoo)Martial Arts WebsiteLocal Activities ListingNews ArticleOther
Payment Policy
Currently, All registration is free due to the Grant recieved by US Lacrosse Association. I understand that Saponi Stickball does not require members to sign a contract for an extended period of time, and members may cancel at any time by notifying a coach.

I understand that Saponi Stickball is a non-profit entity and relies on grants, club dues payments of members, and donations to stay open.

I understand that any equipment, or promotion fee is payable upon delivery. Any special order items are payable before the order is placed.
I have read and understand the payment policy
Membership Rules
MEMBERSHIP RULES
1. Never leave the field without receiving permission from the instructor.
2. No food, drink or chewing of gum are allowed on the field.
3. No Lacrosse activity is to take place during class time. Show your instructor respect by paying attention. Save the conversation for after class.
4. Report all injuries to the instructor immediately. When arriving at class with an injury, the instructor must be notified prior to the start of class.
5. Please wear appropriate shoes in the field
6. Water bottles are permitted in designated area at field-side. Water bottles are to have water or electrolyte beverages (like Gatorade) only.
7. Never come to class under the influence of drugs or alcohol.
8. Members are to keep their gear clean and in good repair.
9. No jewelry may be worn during class unless specifically approved by the instructor.
10. No practicing of hitting or checking teammates or new techniques is not allowed without permission of the instructor. This includes techniques you learned on the internet, saw during a competition, or on a video.
11. If we are inside, spills are to be cleaned immediately. Trash should be placed in the proper container. Spectator chairs should be stacked at the end of class.
12. Bullying is not tolerated in or off of the field. Members using their Lacrosse skills for bullying will not be allowed to return.
I have read, understood, and accepted the rules for membership.
Privacy Policy
I understand that occasionally, photos and videos from club competitions and practices will be used in promotional material for the club. I agree to allow my image or my child's image to be used for this purpose and that I will not be compensated. I also understand that once a promotional item has been produced, it is not possible to remove my image or my child's image from the production.
I understand that the club will never share my contact information for commercial purposes. I may, however, be contacted by the club managers about club announcements and information relevant to club membership.
Disclaimer and Waiver of Liability
1. Recognize and understand that Lacrosse/Stickball training is a physical contact activity and that my participation might result in serious injury, including permanent disability or death, and severe social and economic loss.
2. Recognize and understand that such risk may be due to not only my own actions, but also the action, inaction or negligence of others.
3. Recognize that there may be other risks that are not known to me or to others or not reasonably foreseeable at this time.
4. Agree to inspect the facilities, equipment and pairings prior to participation. I will immediately inform an instructor if I believe that anything is unsafe or beyond my capability and refuse to participate.
5. Assume all of the foregoing risks and accept personal responsibility for any damages that may result from injury, permanent disability or death.
6. Enter Lacrosse/Stickball training and/or competition entirely of my own free will and understand the importance of following the rules of training and competition.
7. I certify that I am in good physical condition, and have no disease, injury or other condition that would impair my performance or physical and mental well-being during training practice and/or competition. If I have any injuries or illnesses that could affect my ability to participate, I will notify the club managers and coaches, and discuss the appropriateness of martial arts training with my or my child's doctor.
8. Grant permission in case of injury to have a doctor, nurse, athletic training or other emergency medical personnel provide me or my child with medical assistance or treatment for such injury. The cost of any treatment or hospitalization arising from injury during training or play shall not under any circumstance be paid by Saponi Stickball, its affiliated organizations and governing bodies, their officers, instructors and personnel, other members of the organizations, participants, supervisors, coaches, sponsoring organizations or their agents.
9. Release, waive, discharge and covenant not to sue, Saponi Stickball, its affiliated organizations and governing bodies, their officers, instructors and personnel, other members of the organizations, participants, supervisors, coaches, sponsoring organizations or their agents, and if applicable, owners and leasers of the premises from any and all liability to the undersigned, his or her heirs and next of kin for any and all claims, demands, losses and damages which may be sustained and suffered on account of injury, including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the realeasees or otherwise.
I have read, understood, and accept the disclaimer and liability waiver and sign it of my own free will
Signature of Member or Legal Guardian*

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Saponi Stickball Membership Registration

Payment Policy

Membership Rules

Privacy Policy

Disclaimer and Waiver of Liability