TSYL REGISTRATION BOYS – 2024 – Tierrasanta Youth Lacrosse Club

Are You a Returning or New Player to Tierrasanta Youth LC ? (required)

Returning Player to Tierrasanta Youth LC

New Player to Tierrasanta Youth LC

Please Select:(required)

Boys Lacrosse

Player's First Name

Player's Last Name

Player's Email:

Player's Current Age:

DOB: DD/MM/YYYY

Name of Middle School:

Name of School District (ex: San Diego Unified, Poway Unified, Grossmont Unified)

Parent/Guardian Information

Parent's First Name:

Parent's Last Name:

Parent's Email:

Parent Cell Phone:

Street Address:

City

State

Zip Code:

Additional Parent First Name:

Additional Parent Last Name:

Additional Parent E-Mail:

Additional Parent Phone:

Emergency Contact Name:

Emergency Contact Phone Number:

Emergency Contact Relationship to Player:

Additional Player Information

All players and participants are required to have a membership to US Lacrosse. ($35)
The form will not allow you to complete the registration without this number.
Your US Lacrosse membership should be active and completed BEFORE this online registration process.

US Lacrosse Membership Number

Players Medical Information

Allergies Primary (if yes please list)

Other Medical Conditions (if yes please list)

Medications (if yes please list)

Medical/ Hospital Insurance Company

Volunteer Interest (check all that apply)Parents are required to volunteer at least 2 games in the season.(required)

Assistant Coaching

Scorekeeper

Timekeeper

Spotter / Airhorn

Stat Book Keeper

Team Photographer / Social Media

Admin Board Member

other:

If Other, Please Specify:

How did you hear about us? (required)

Search Engine

Social Media

Coach's Suggestion

Friends/Family/Referral

LIABILITY WAIVER(required)

By proceeding with registration, I hereby request that the child named above herein be admitted to the Tierrasanta Youth Lacrosse and give my permission for him/her to participate in the club training regimen which I realize as a physical activity can result in injury. I hereby waive all claims to liability to the directors, coaches, staff, and Club/Facilities Organizer (Tierrasanta Youth lacrosse) and authorize the directors to act for me according to their best judgments in any emergency requiring medical attention for services other than the accident insurance maintained by the club, I will pay. All Club insurance policies must be followed exactly in order to receive coverage.

PHOTOGRAPHS/VIDEOS/SOCIAL MEDIA WAIVER

I hereby further authorize Tierrasanta Youth Lacrosse to take photographs and videotape of my child while participating in any Tierrasanta Youth lacrosse activities. By checking this box, I authorize Tierrasanta Youth Lacrosse to use any of the above for promotional purposes and promotional purposes only.

PARENTAL/GUARDIAN CONSENT:(required)

As parent/guardian, I give my child permission to participate in the Tierrasanta Youth lacrosse programs and activities and I release Tierrasanta Youth lacrosse, employees or agents, from any responsibility and or liability regarding any injury resulting from participating in any and all of the programs Tierrasanta Youth lacrosse offer. I further agree to inform my child that he/she must follow all safety rules, policies, and procedures as instructed with regard to the Tierrasanta Youth lacrosse programs he/she is now attending or will attend in the future. By signing this form, I acknowledge that I have read and understand its contents and voluntarily choose to permit my child to participate in the activities described above.

Please Sign Here (Print Full Parent/Guardian Name)

Tierrasanta Youth Lacrosse Club

TSYL REGISTRATION BOYS – 2024

Register Here to Join TSYL

Player Information

Parent/Guardian Information

Additional Player Information

Players Medical Information