Registration Form

Participants First Name: Participants Last Name:

Birth Date:

Address: Home Phone #:

Parent Cell #: Player Cell #:

Parent 1 Email: Parent 2 Email:

Middle School: Grade: Select... 6 7 8

Position: Years Played:

Dominant Hand:


Adult Shirt Size: Select... X-Small Small Medium Large X-Large XX-Large Adult Short Size: Select... X-Small Small Medium Large X-Large XX-Large

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Additional Sportswear: (All sizes are Adult)

T-Shirt Quantity:   T-Shirt Size:   

Long Sleeve T-Shirt Quantity:   Long Sleeve T-Shirt Size:  

Hoodie Quantity:   Hoodie Size:  

Waiver of Liability
In consideration of participating in any camp, clinic, sports team or any other related events and activities with DM Lacrosse, LLC the player named above and the parent or guardian do hereby agree to ourselves, our heirs, executors and administrators, to release, hold harmless and forever discharge DM Lacrosse, LLC for and against any and all claims, actions, cause of action, suits, judgments and demands whatsoever arising directly or indirectly in connection with the player's participation in any camp, clinic, sports team or any other related events and activities with DM Lacrosse, LLC. By signing below I acknowledge that I have read and understand this form and further understand the terms herein are contracted and not a mere recital.

Parent Signature: Signature Date: