2021 Motor City Machine Registration Form
Intro to Lacrosse Clinic *Required of Beginner Players Only* (Feb. 14, 21, 28, MAR. 7)
Early Bird Spring Registration (U12/U14) thru January 15th!!
U12 Team Full Payment (4th-6th Graders)
U12 Team Deposit (4th-6th Graders)
U14 Team Full Payment (7th-8th Graders)
U14 Team Deposit (7th-8th Graders)
Spring team play begins March 21, 2021!
HS Early Bird Discount Summer Tournament Team
U14 Early Bird Discount Summer Tournament Team
Full Payment - High School Summer Tournament Team
Deposit Payment - High School Tournament Team
Full Payment - U14 Tournament Team
Deposit Payment - U14 Tournament Team
INTRO TO LACROSSE (SESSION 2 NOV. 15, 22, DEC. 6, 13)
STICKWORK & SHOOTING (NOV. 15, 22, DEC. 6, 13)
WALK-UP 6v6 LEAGUE (FINAL WEEK)
Current or Previous Lacrosse Team or Club Affiliation
Date of Birth
Player is interested in playing
Not Sure Yet
"Play With" Request:
In the interest of keeping spring players together with their teammates and bettering the experience for our players, we will do our best to accommodate registrants' requests to play with their friends/teammates where rosters permit.
High School Players Only - Collegiate Lacrosse Interest
To facilitate our assistance in helping your player gain next-level exposure or accolades for their success in gaining a college program commitment, please note either a college program commitment or the collegiate lacrosse programs your player intends to consider for future play. Of those being considered, please identify those programs with whom you have already made contact.
Lacrosse Leagues and Team play require a Motor City Lacrosse practice pinnie. Do you need a reversible pinnie?
No, I am enrolling in a beginner program or skill clinic.
Yes, please order me one.
No, I already have one.
Reversible pinnies are not game jerseys and are intended for use in spring practices and winter training only.
Do you already have a Motor City Machine game uniform from the spring or summer season?
No, please order me a uniform.
Yes, I already have one.
Not needed - I am enrolling in a beginner program.
2020 Change: To keep costs down for our families, summer/fall players who do not have a club uniform can use a stock uniform and return it to the program upon completion of summer tournament play.
Enter your returning team uniform number OR request a number for your jersey you intend to borrow and return: (We cannot guarantee number assignments!)
Please enter a number from
Relationship to Participant
Address Line 2
District of Columbia
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Home Phone Number:
Cell Phone Service Provider (for texts)
Optional (Additional) Email Address to send team communications
EMERGENCY CONTACT INFORMATION:
Emergency Contact Name
Relationship to player:
Emergency Contact Phone:
Please note any medical concerns for the participant (see also waiver requirements)
I have read and I understand this Agreement. I warrant that I have the right and the authority to execute this Agreement on behalf of myself and the Participant (if under the age of 18). I assume full responsibility for the terms and conditions of this Enrollment Agreement & Release, and will indemnify and hold harmless Motor City Lacrosse, LLC for any claims brought by or on behalf of Participants to this Agreement.
By indicating your acceptance, you understand, agree, warrant and covenant as follows:
MOTOR CITY LACROSSE ENROLLMENT AGREEMENT & RELEASE
FOR 2020 CALENDAR YEAR PROGRAM PARTICIPATION
The Participant desires to participate in the Motor City Machine Lacrosse program of Motor City Lacrosse, LLC (referred to herein as Motor City Lacrosse). This form is an important legal document. It is critical that you read and understand it completely. After you have done so, please print your name legibly and sign below. In this document, the term "Participant" includes both the on-the-field Participant and the parent or legal guardian, if Participant is under 18 years of age. Participation in the sport of lacrosse may result in injury or death to Participants. Participant desires to participate in the sport of lacrosse despite these risks. Participation in the Motor City Lacrosse program is expressly conditioned upon the following agreement by the Participant:
1. Participant assumes all risks of injury or death sustained while participating in the sport of lacrosse or while on or about the premises, and waives all liability against Motor City Lacrosse, their officers, employees and all affiliated entities.
2. Participant releases, discharges, indemnifies and holds harmless Motor City Lacrosse, their officers, employees, agents, officials, and all related entities, from any and all claims, demands or causes of action that are in any way connected with participation in the sport of lacrosse or use of the premises, facilities or equipment, and including any negligence on the part of East Side Lacrosse, their officers, employees, agents, officials and all affiliated entities.
3. Motor City Lacrosse is not responsible for Participant's fitness, abilities or equipment.
4. Participant represents and acknowledges that Participant has adequate insurance and agrees to assume full responsibility for any and all costs or expenses occasioned by an injury or medical need arising out of participation in the sport of lacrosse or use of the premises, facilities or equipment.
5. Participant acknowledges that during the course of their activities, Motor City Lacrosse may take Participant's photograph or film a video that includes the participant. Each Participant hereby grants Motor City Lacrosse permission to use any such photograph or video for use in materials promoting Motor City Lacrosse. Such use may include publication in program, general advertising, posters, flyers, television, internet, and any other vehicles that may be distributed or shown to or otherwise seen by large numbers of individuals and potential patrons of Motor City Lacrosse. Participant waives all rights to any financial remuneration of any kind.
6. I understand that Motor City Lacrosse reserves the right to remove any participant whose behavior is deemed disruptive to the best interest of the program or those interacting with the program with no refund of fees paid.
I pledge to Compete with Class and Honor the Game.
PARENT / PLAYER PLEDGE FOR THE 2020 LACROSSE SEASON
The Motor City Machine Lacrosse Club welcomes you and your player(s) to the team. Motor City Machine Lacrosse is about players having fun while learning, training and competing in the game. As parents, part of your role is to make sure that your child is enjoying her lacrosse experience.
This season, as a parent or player, I pledge to Compete with Class and Honor the Game.
• I will honor the history of women’s lacrosse and commit to maintaining the core values of the game’s culture.
• I will recognize the value of safe and fair play by teaching, enforcing and playing by the letter and spirit of the girls’ game.
• I will practice and encourage good sportsmanship by demonstrating positive support for all players, coaches and officials at every game, practice or other girls’ lacrosse event.
• I will place my player's safety, health and well-being above all other interests to compete and win.
• I will support coaches and officials working with players in order to encourage a safe, positive and enjoyable experience for all.
• I will do my very best to make the sport fun for every participant.
• I will ask all family members and fans to be tolerant and inclusive by treating other players, coaches, fans and officials with high regard and respect.
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