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2011 YLS SPRING LACROSSE TEAMS
FEB 11, 2011 PAYMENT DEADLINE

The Holly Springs Youth Lacrosse Club: GIRLS
HOLLY SPRINGS LADY HAWKS, Grades 4-8: $155

IMPORTANT: EACH TEAM HAS A 24-PLAYER ROSTER LIMIT.
ROSTERS ARE DETERMINED BY THE ORDER OF THE PAYMENTS RECEIVED.
There are no prorates, and there are no reimbursements after February 20, 2011

Payment Questions: directors@YLSlacrosse.com

PAYMENT INFORMATION

For ALL camps, clinics, & leagues, please make all checks or money orders out to:

Youth Lacrosse System, L.L.C.

PAYMENT MAILING INFORMATION

Credit Card payments ARE NOT accepted. Mail check or money order to:

Doug Greenberg
c/o The Youth Lacrosse System, L.L.C.
212 Stobhill Lane
Holly Springs, NC 27540

Player Name
Street Address
City/State/Zip
Birth Date
Grade Level as of August 2010
School You are Currently Attending
Years of Lacrosse Game Experience and Positions Played (A, M, D, G)
Parent Name
Parent Email
Emergency Phone Numbers

Are there any mental or physical health concerns that the YLS should be made aware of before the athlete participates in this contact sport?
If you put 'NONE' or left empty, YLS will assume that your child has no physical or mental conditions and will not be held liable.
If you there is a mental or physical concern, then please provide documentation that will help YLS staff assist your child in the case of emergency.
Please indicate how you heard about our YLS Lacrosse programs.
Click on  the appropriate box for the item you are registering

HSYLC:4th-8th Grade Girls Team (LADY HAWKS)

IMPORTANT:

PLAYERS MAY NOT PARTICIPATE IN YLS ACTIVITIES WITHOUT A PARENT/LEGAL GUARDIAN READING AND CHECKING THE MINOR WAIVER AND RELEASE OF LIABILITY SECTION.

Amateur Athletic Minor Waiver and Release of Liability

In consideration of being allowed to participate in The Youth Lacrosse System, L.L.C.:

We, the undersigned, for ourselves, our heirs, executors and administrators, waiver and release and forever discharge The Youth Lacrosse System, L.L.C., its staff, officers, agents, representatives, employees, successors and assigns of and from any and all rights and claims for bodily injuries and damages to personal property which may be sustained or occur during participation in camp activities, or from camp, whether paid damages, injury or loss are due to negligence or not.

I/We certify that the applicant is in good physical and mental condition to take part in
The Youth Lacrosse System, L.L.C., and we have notified the YLS Directors of any pre-existing conditions.

Please make sure you have filled in all information before submitting your registration.

NO registration is complete if the Amateur Athletic Minor Waiver is not checked off.

You will receive a confirmation email from The Youth Lacrosse System, L.L.C. when we have received your payment.