MLC 2018 Reg Form & App

2018 PLAYER INFORMATION (Men's and Master's)
Please take care when entering email and phone #. Please enter information you use most often to be sure to receive league information.
Please fill out the information below. Please be HONEST about your skill level.
The aim of the League is to be as competitive and equitable as possible.
League Dues are:

$155 per player for Open League - 10 games + playoffs

$155 per player for Masters - 10 games + 1 playoff game

$285 per player for both Masters and Open
Open League plays Mondays and/or Thursdays from May 31th till July 26th Registration closes May 23rd
Masters League plays on Mondays (except in May - games on May 17, 21, 24 & 29) and goes May 17th till July 16th. Registration closes May 9th

MEDICAL/EMERGENCY CONTACT INFORMATION

WAIVER INFORMATION
Waiver and Release of Liability

In consideration of being allowed to participate in any way in the Mohawk Lacrosse Club Summer League and related events and activities, I:

1) AGREE that prior to participating, I will inspect the facilities and equipment to be used and if I believe anything is unsafe, I will immediately advise my Coach of that condition and refuse to participate;

2) Acknowledge and fully understand that I will be engaging in activities that involve risk of serious injury. Injury may include permanent disability, death, and/or severe social and economic losses, which might result not only from my own acts, inaction or negligence of others, the rules of play and/or the condition of the premises or of any of the equipment that I use. Further, I acknowledge there may be other risks not known to me and not reasonably foreseeable at this time;

3) ASSUME all the foregoing risks and accept personal responsibility for the damages following such an injury, permanent disability or death. I release, waive, and discharge and covenant not to sue Mohawk Lacrosse Club, its affiliated clubs, their respective administrators, directors, agents, coaches, and other employees of the organization, other participants, sponsoring agencies, sponsors, advertisers and, if applicable, owners and lessors of premises used to conduct the games and events, all of which are hereinafter referred to as the “releasees” from demands, losses or damages on account of injury, including death or damaged property, caused or alleged to be caused in whole or in part by the negligence of the releasee or otherwise;

4) AGREE to maintain medical insurance the entire time I participate in the Mohawk Lacrosse Club Summer League, and related events and activities; and further certify and represent to the Mohawk Lacrosse Club and the releasees that I am covered by medical insurance and/or am a participant in a recognized health maintenance organization. I authorize the Mohawk Lacrosse Club to verify with my insurance company or health maintenance organization the existence of my medical insurance and the type of medical insurance.

5) AGREE that I will not play in the Mohawk Lacrosse Club Summer League unless I have such insurance and that if my insurance at any time lapses, I will discontinue participating.

I have read the above waiver and release, understand that I have given up substantial rights by signing it and sign it voluntary.

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Payments Accepted By

Note: Credit Card information can be entered once this form is submitted