Instructional Girls Lacrosse 2015

Currently in Kindergarten, 1st or 2nd grade

Dates/times TBA

Coaches needed! No coach, no program…so sign up now if you can!

Complete the permission form below and submit with $10 to LCC by May 31st . Drop in sealed envelope to town offices or mail to: LCC, PO Box 98, LaF, 13084. Girls need own stick,goggles and mouthguard.

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Town of LaFayette/LaFayette Community Council

Participant Permission Form

Name of player ______Grade ____ Phone ______

Mailing Address ______

Email address for coach ______Shirt size ______

Parents names (present at practices) ______

We strongly urge parents to stay at practice/games. Name a responsible adult in your absence.

Emergency contact if you are not present ______

Medical conditions or concerns we should know: ______

I as parent/guardian of the above named child, hereby give my permission to participate in this LaFayette Community Council program. I am aware that participation may result in serious injuries, and that protective equipment does not prevent all injuries to players and do hereby waive, release, absolve, indemnify and agree to hold harmless the Town of LaFayette, LaFayette Community Council, the organizers, sponsors, coaches, employees and participants for any claim arising out of any injury to my child whether the result of negligence or for any other cause, as a result of his/her participation in the program.

My child has permission to participate in (please list sport)______

Parent signature ______Date ______

Instructional Lacrosse

Boys in Kindergarten, 1st and 2nd

Dates/times TBA

You will be contacted by coach or through school in May with schedule. Must sign up by May 31st.

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Helmets will be issued to any player that needs one. Each player needs own stick, gloves and pads and mouthguard.

Town of LaFayette/LaFayette Community Council

Participant Permission Form

Name of player ______Grade ____ Phone ______

Mailing Address ______

Email address for coach ______Shirt size ______

Parents names (present at practices) ______

We strongly urge parents to stay at practice/games. Name a responsible adult in your absence.

Emergency contact if you are not present ______

Medical conditions or concerns we should know: ______

I as parent/guardian of the above named child, hereby give my permission to participate in this LaFayette Community Council program. I am aware that participation may result in serious injuries, and that protective equipment does not prevent all injuries to players and do hereby waive, release, absolve, indemnify and agree to hold harmless the Town of LaFayette, LaFayette Community Council, the organizers, sponsors, coaches, employees and participants for any claim arising out of any injury to my child whether the result of negligence or for any other cause, as a result of his/her participation in the program.

My child has permission to participate in (please list sport)______

Parent signature ______Date ______