2017 EMW LACROSSE ACADEMY in Logan July 25-28

For a downloadable .pdf version of the health and release, please click here.

Coverage for accidental injury is required by all participants. In most cases, family health insurance is adequate. The East Meets West Lacrosse Camps and Clinics are also properly insured. Campers will not be allowed to participate unless the following information is submitted and the form is signed by a parent or guardian of the camper.

WAIVER AND RELEASE: FOR GOOD AND VALUABLE CONSIDERATION, RECEIPT OF WHICH IS HEREBY ACKNOWLEDGED, WE THE UNDERSIGNED, FOR OURSELVES, OUR HEIRS AND ADMINISTRATORS, WAIVE, RELEASE AND FOREVER DISCHARGE THE East Meets West Lacrosse Camps and Clinics, ITS STAFF, OFFICERS, AGENTS, REPRESENTATIVES, EMPLOYEES, SUCCESSORS AND ASSIGNS OF AND FROM MANY AND ALL RIGHTS AND CLAIMS FOR DAMAGES RESULTING FROM INJURY OR PROPERTY WHICH MAY BE SUSTAINED OR OCCUR DURING PARTICIPATING IN CAMP ACTIVITIES OR ARISING FROM TRAVEL TO OR FROM CAMP. WHETHER SAID DAMAGES, INJURY OR LOSS ARE DUE TO NEGLIGENCE OR NOT. EMERGENCY MEDICAL TREATMENT AUTHORIZATION: I (WE) THE UNDERSIGNED, HEARBY CERTIFY THAT I (WE) ARE THE PARENT, OR LEGAL GUARDIAN, OF THE CAMPER AND GIVE PERMISSION TO THE CAMP STAFF TO SEEK APPROPRIATE MEDICAL ATTENTION AS NECESSARY TO INSURE THE WELL BEING OD MY (OUR) SON.

Your name will act as your electronic signature

Please note, to complete your registration, payment is required by clicking the button below. We will confirm your registration via email after payment is received.

If you have any questions, please contact Drew