WILDCAT GIRLS LAX YOUTH CAMP
@ Owen J Roberts High School (South Field)
Youth players should consider joining our lacrosse camp in order to improve their basic lacrosse skills and their knowledge of the game. This program will provide intensive work on basic lacrosse fundamentals as well as offer scrimmages and fieldwork. This summer camp is great way to advance your child's skills in preparation of your next season.
WHEN: Monday – Thursday, June 20 - 23, 2016 9:00AM – 3:00PM
WHERE: Owen J Roberts High School (South Field)
WHO: Elementary and Middle School Ages (2nd-4th Grade / 5-8th grade Sept 2016)
COST: 2nd – 4th Grade ($135) / 5th – 8th Grade ($165) (Payable to: OJR Girls Lacrosse)
TIME: 2nd-4th Grade 9-12:30,
5th – 8th Grade 9AM - 3PM
FORMAT:
BRING: Practice Pinnies, Sneakers/Cleats, Stick, Mouth guard, goggles, water, goalie equip. 2-4 age group should bring a snack. 5-8 age group should pack a lunch and snacks for throughout the day.
Director: Joe Tornetta, Head Lacrosse Coach, Owen J Roberts HS and Mongoose Lacrosse Club ()
The camp will be run under the direction of Joe Tornetta and the Owen J Roberts High School Lacrosse Team.
*EVERY CAMPER WILL RECEIVE A CAMP T-SHIRT AT THE END OF THE WEEK.
REGISTRATION DEADLINE: WEDNESDAY, JUNE 15, 2016
Send to: Joe Tornetta * 55 Kelmar Ave. * Frazer, PA 19355 or leave to the Attn. of Joe Tornetta in the OJR Athletic Office
· Make Checks Payable to “Owen J Roberts Girls Lacrosse”.
· ALL PLAYERS MUST FILL OUT THE PLAYER INFORMATION & WAIVER FORM TO PARTICIPATE. THIS IS SHEET #2.
· There will not be refunds due to weather cancelations.
· Payment and waivers should be mailed to: Joe Tornetta, 55 Kelmar Ave, Frazer PA 19355.
THANK YOU
COACH TORNETTA
WILDCAT GIRLS LAX YOUTH CAMP
PLAYER INFORMATION & WAIVER:
(To be filled out and signed by each participating player/parent)
NAME: ______PHONE: ______
ADDRESS: ______
CITY: ______STATE: ______ZIP CODE: ______
E-MAIL: ______
POSITION ______
SHIRT SIZE: YS YM YL AS AM AL AXL
(Pease fill out completely, sign)
RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AND PARENTAL CONSENT AGREEMENT
In consideration of being permitted to participate in any way in the Mongoose Lacrosse Camp I, for myself for personal representatives, assigns,
heirs, and next of kin and/or I/ THE MINOR’S PARENT AND/OR LEGAL GUARDIAN ACKNOWLEDGE, agree, and represent that I understand
the nature of Activities and that I/The minor am/is qualified , in good health, and in proper physical condition to participate in such camp
Activity. I/The minor further agree and warrant that if at any time I believe conditions to be unsafe, I will immediately discontinue further
participation in the Activity. FULLY UNDERSTAND THAT: ACTIVITIES INVOLVE RISKS AND DANGERS OF SERIOUS BODILY INJURY,
INCLUDING PERMANENT DISABILITY, PARALYSIS, AND DEATH ("RISKS"); (b) these Risks and dangers may be caused by my own actions
or inaction’s, the actions or inaction’s of others participating in the Mongoose Lacrosse Camp, the condition in which the Mongoose Lacrosse Camp
takes place, or THE NEGLIGENCE OF THE "RELEASES" NAMED BELOW; (c) there may be OTHER RISK AND SOCIAL AND ECONOMIC
LOSSES either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL
RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I/The minor incur as a result of my participation or that of the minor in the Activity.
HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE the Mongoose Lacrosse Camp, their respective administrators, directors,
agents, officers, members, volunteers, and employees, other participants, any sponsors, advertisers, and, if applicable, owner and lessons of premises on which the Activity takes place, (each considered one of the "RELEASES" herein) FROM ALL LIABILITY, CLAIMS, DEMANDS,
LOSSES, OR DAMAGES ON MY ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE
"RELEASES" OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS AND I FURTHER AGREE that if, despite this RELEASE AND
WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT I, or anyone on my behalf, makes a claim against any of the
Releases, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASES from any litigation expenses, attorney fees, loss,
liability, damage, or cost which may incur as the result of such claim. I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS,
UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND HAVE SIGNED IT FREELY AND WITHOUT INDUCEMENT
OR ASSURANCE OF ANY NATURE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE
GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THE BALANCE,
NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT. Also, I waive all rights to any photos taken for use in any Mongoose
Lacrosse Camp publication.
Parent/Guardian Signature: ______Date: ______