CDM LACROSSE COMPLEX     |     CORONA DEL MAR HS

Player's Name*
Player's HS Graduation Year:*
Grades reflect the 2022-23 school year

Current Offerings for New Player Training Sessions & Beginner Clinics:

MON 6/13    6:00-8:00 PM     CDM Lacrosse Complex

TUE 6/14   2:00-4:00 PM     CDM Lacrosse Complex

WED 6/15    6:00-8:00 PM     CDM Lacrosse Complex

THU 6/15    4:00-6:00 PM     CDM Lacrosse Complex

  

Please choose the New Player Training Sessions your son will attend:
$
This Amount Should Not Exceed $120.00.

Parent or Legal Guardian Information

Parent or Legal Guardian Name*

Emergency Contact Information

Emergency Contact Name*
Relationship to the Participant*

Parent or Legal Guardian Authorization for Medical Treatment / Waiver & Release - Read Carefully & Sign Below

In consideration of my son’s participation in Surf Dawgs / Baggataway Camps LLC sponsored events and activities, I agree to the following:

1. Waiver and Release: I am fully aware of and appreciate the risks, including the risk of catastrophic injury, paralysis and even death, as well as other damages and losses, associated with participation in a lacrosse event and related sports conditioning. The Surf Dawgs, Baggataway Camps, LLC, along with coaches, officials, referees, volunteers, employees, agents, sponsors, officers and directors of these organizations, shall not be liable for any injury, loss of life or other loss or damage occurring as a result of my son’s participation in the Surf Dawgs (operated by Baggataway Camps, LLC). All participants understand that they must have their own insurance coverage. Expenses resulting from injury or illness are the responsibility of the participant and/or his parent or guardian.

2. Medical Attention: I hereby give my consent to the Surf Dawgs (operated by Baggataway Camps, LLC) to provide, through a medical staff of its choice, customary medical/athletic training attention, transportation and emergency medical services as warranted in the course of my son’s participation in the Surf Dawgs (operated by Baggataway Camps, LLC) sponsored or sanctioned events.

3. Readiness to Compete: My son will only participate in those competitions or activities in which I believe he is physically and psychologically prepared to participate.

4. Code of Conduct: I agree that my son will abide by all terms in the Code of Conduct of the Surf Dawgs (operated by Baggataway Camps, LLC), especially with regard to his responsibilities as a Player.

5. Verification & Acknowledgement: As legal guardian of this participant, I hereby verify by my signature below that I have read and fully understand each of the above conditions for permitting my child to participate in any Surf Dawgs (operated by Baggataway Camps, LLC) sponsored events and activities, and I accept each of the above conditions, especially the waiver and release set forth in paragraph one.

Acknowledge & Accept*
Use your mouse or finger to draw your signature above

Credit Card Payment

Name on Credit Card*
Billing Address*
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