Registration Philly Elite Registration Player Name* First Last Player Email* Player Phone*Grade* 5th Grade 6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade Positions* Goalie Attack Midfield Defense LSM Current School* Current School Coach Name* Club InfoCurrent Club Club Coach Name First Last Club Coach Email Club Coach PhoneParent InfoParent Name* First Last Parent Phone*Parent Email* CheckoutMiddle School 100% DiscountDiscountMiddle School 50% DiscountDiscountMiddle School 10% DiscountDiscountHigh School 100% DiscountDiscountHigh School 50% DiscountDiscountHigh School 10% DiscountDiscountCoupon Code Philly Elite Camper (5-7th Grade) Price: Philly Elite Camper (8-12th Grade) Price: Total $0.00 Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Credit CardCard Details Cardholder Name COVID-19 Waiver Release of Liability** I agree to the waiver release.Waiver, Consent, Release of Liability COVID-19. The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. Philly Elite Lacrosse has put in place preventative measures to reduce the spread of COVID-19; however, Philly Elite Lacrosse cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending Philly Elite Lacrosse programs or events could increase your risk and your child(ren)’s risk of contracting COVID-19. By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending Philly Elite Lacrosse programs or events and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at Philly Elite Lacrosse programs or events may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Philly Elite Lacrosse employees, volunteers, and program participants and their families. Further, I attest that my child(ren) are healthy now and will be monitored by me, a parent, or a guardian before attending all Philly Elite Lacrosse programs or events each day and I will hold him out if any such symptoms arise. A health monitorization or check ensures and confirms that your child(ren) has not had these symptoms for 48 hour prior to each Philly Elite Lacrosse program or event; fever, abnormal cough of any kind, shortness of breath, body aches, sore throat, or loss of taste and smell. I attest that my child(ren) has not knowingly been in close contact with anyone who is known to have or be symptomatic of the Covid-19 virus and has not traveled outside the US or been in contact with anyone who has traveled outside the US in the last 14 days I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at any Philly Elite Lacrosse or events that Philly Elite Lacrosse or participation Philly Elite Lacrosse programming (“Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless Philly Elite Lacrosse, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of Philly Elite Lacrosse, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Philly Elite Lacrosse program. I HAVE READ THIS WAIVER AND RELEASE. I UNDERSTAND IT AND I AM SIGNING IT VOLUNTARILY. I certify that as parent/guardian of the athlete, I consent to his/her agreement to be bound by each of the terms and conditions in this waiver and release.Medical Waiver* I agreeI/we being the legal guardians of the applicant authorize the staff of this clinic and its agents permission to request treatment to ensure the well being of our dependent. I certify that he is in good health and able to participate in the scheduled games.Acknowledgement* I agreeIn consideration of participating in this tryout, practice, game, skill session and or clinic, the player named above and the parent or guardian do hereby agree for ourselves, our heirs, executors and administrators, to release, hold harmless and forever discharge the hosting organization and their officers, staff, administrators, volunteers, sponsors and representatives and assigns, for and against any and all claims, actions, cause of actions, suits, judgments, and demands whatsoever directly or indirectly in connection the player’s participation in the event.