Team Jamaica Tryouts - Jamaica Lacrosse Association

REGISTER BELOW TO TRYOUT FOR A SPOT ON TEAM JAMAICA TO PLAY IN THE 2018 FIL Lacrosse World Championships | July 12-21, 201 in Netanya, Israel

TEAM JAMAICA LACROSSE TRYOUTS

OPEN Registration - Cost $125

CONTACT INFORMATION

Name *

First

Name *

Last

E-mail *

Address *

City

State/Province

Zip/Postal

Country

Mobile Phone *

Upload a headshot of yourself *

Drop a file here or click to upload Choose File

Maximum upload size: 516MB

JAMAICA CONNECTION

Where were you/your parents/grandparents born in Jamaica

What is your relation to Jamaica? *

Do you have a Jamaican passport? *

EDUCATION & EXPERIENCE

High School

College

Did or Do you play lacrosse in college? *

IF YES. Did you play: *

Club

Position *

Highlight reel URL #1

Highlight reel URL #2

Lacrosse accomplishments *

HEALTH

Dominant Hand *

Date of Birth (m/d/yyyy) *

Weight & Height *

Have you ever had a concussion? *

IF YES, how many?

List any medical issues

List current or past sports injuries

Why do you want to represent Jamaica at the 2018 FIL World Cup? *

Are you AVAILABLE TO TRAVEL to Israel in July 2018 for the FIL World Cup? *

Are you FINANCIALLY ABLE TO FUND your travel expenses to Israel in July 2018? *

Will you NEED ASSISTANCE to cover expenses to travel to Israel in July 2018? *

SOCIAL MEDIA

Please list your username's

Instagram

Twitter

Website/URL

Blog/URL

Is there anything else you would like us to know?

RELEASE

Player Release

AGREEMENT:
In consideration of my participation in the sponsored activities of the JAMAICA LACROSSE ASSOCIATION
camp/clinic/tournament, I acknowledge, agree to and understand that:

Waiver Terms and Conditions:

The undersigned person, parent or legal guardian hereby agrees to enroll the participating student based on the terms and conditions stated herein. The undersigned parent(s) or legal guardian(s) are hereinafter collectively referred to as “I” or “me.”

I. Medical Insurance Information:

I understand that every participaant is required to have health insurance coverage that provides an appropriate level of benefits befitting a participant in a contact sport. I affirm that my child/I has an appropriate level of coverage.

II. Waiver, Assumption of Risk, and Release of Liability:

I recognize that participation in The Program places the participating student/adult at physical risk, as there is an inherent risk of injury when participating in a contact sport. I agree to assume that risk. Although JAMAICA LACROSSE ASSOCIATION directors have taken reasonable measures to protect the participating student, I realize accidents, illness and injuries may still occur. I hereby waive, release and forever discharge JAMAICA LACROSSE ASSOCIATION, the Venue, and all coaches and staff, representatives, employees, contractors, successors and assigns of any of the preceding of and from any and all rights and claims for damages to person and property which may be sustained or occur during participation in The Program by the participating student whether paid damages, injury or loss are due to negligence or not.

III. Media Waiver

I understand that JAMAICA LACROSSE ASSOCIATION occasionally uses photographs and/or video of JAMAICA LACROSSE ASSOCIATION events such as The Program for promotional purposes. I grant JAMAICA LACROSSE ASSOCIATION permission to use the participating student’s name, image, voice, and identity in any program for promotion of JAMAICA LACROSSE ASSOCIATION including written materials, website materials, video, audio, or other forms
damage occurring as a result of my participation in the event, or as a result of equipment that
may have been provided to me for these activities.

2. MEDICAL ATTENTION: I hereby give my consent to US Lacrosse and the host organization
of any JJAMAICA LACROSSE ASSOCIATION related event to provide, through a medical staff of its choice, customary medical/athletic training attention, transportation and/ or emergency medical services as
warranted in the course of my participation in JAMAICA LACROSSE ASSOCIATION events.
3. READINESS TO COMPETE: I will only participate in those Jamaica Lacrosse competitions for
which I believe I am physically and psychologically prepared to compete.
4. CODE OF CONDUCT: I have read and agree to all terms in theJAMAICA LACROSSE ASSOCIATION Code of
Conduct, especially with regard to my responsibilities as a player.

I agree to the Terms and Conditions *

AGREE

NOTE: YOUR APPLICATION WILL NOT BE ACCEPTED UNTIL THE $75 REGISTRATION FEE IS SUBMITTED

REGISTRATION FEE *

I understand that in order to tryout, the registration fee must be paid.