Email Address of Person Registering Players^*

Player Information

Player Frist Name^*

Player Last Name^*

Player Email^*

Player Cell Phone Number^*

Player Birth Date^*

Zip Code^*

Grade This Spring^*

Graduation Year^*

School Currently Attending^*

Preferred Position^*

Program/Package Options

Program^*

North - Practice at Ellison Park
Salt Lake - Practice TBD (Draper/Sandy Area)
South - Practice at Orem Junior High

Package^*

Bandit - Tournaments Optional
Renegade - All Tournaments

Payment Option^*

Check(Mail to Utah Elevate Lacrosse 985 W 14600 S Bluffdale UT 84065 )
Electronic Fund Transfer(Replacing Venmo)
Credit Card(3% fee added)
Other

Tournaments Attending(Bandit Only)

Aloha Classic (June 7-8)
Ski Town Shootout (June 14-15)
Park City Showdown (June 27 - 29)
Salt City Classic (July 26 - 27)

Swag Options

Pinnie Size^*

T-Shirt Size (Men's Sizes)^*

Parent/Guardian Information

Contact #1

First Name^*

Last Name^*

Phone #^*

Email^*

Contact #2

First Name

Last Name

Phone #

Fee Payment^*

I understand that payment of fee's must be paid before player can attend practice and are assessed at time of payment not at time of registration.

Bandit Fee's^*

I understand that the Bandit yearly membership fee's do not include any tournament fee's.

Refund Policy

Utah Elevate will refund 100% of the paid fees less a service charge when the refund request is received before May 1st of the program year. The service charge is $25 for the Bandit package and $50 for the Renegade package. Utah Elevate will refund 50% of the paid fees less a service charge when the refund request is received on or after May 1st but before June 1st of the program year. The service charge is $25 for the Bandit package and $50 for the Renegade package. No refunds will be provided for refund requests received after June 1st of the program year. Exceptions may be made where a player must withdraw for medical reasons. These exceptions will be reviewed and decided upon by the Program Director on a case by case basis.^*

I agree

Participation Release

Parent/Guardian Permit: I give my consent for the above named person to participate in Utah Elevate Lacrosse (the Club). This includes, but is not limited to, practices, games, travel with the coach and/or team representatives, and other sponsored events. Website Pictures: I give my consent to post my player’s photograph on the Club’s website and for my daughter to be videotaped and or photographed while participating in Utah Elevate Lacrosse. Team Directory: I give my consent to publish information in a team directory. Assumption of Risk & Release of All Claims: It is understood that even though protective equipment is worn by the athlete, whenever needed, the possibility of an accident or injury still remains. Each coach is aware of the dangers and will make every effort to prevent injuries with proper conditioning, protective equipment and safe practices. However, not all injuries are preventable and SEVERE INJURIES OR EVEN DEATH CAN OCCUR DURING ATHLETIC PARTICIPATION. The Lacrosse Team coaches, the lacrosse board, parental volunteers, nor Utah Elevate Lacrosse assumes any responsibility in case an accident occurs. I understand the possible risk of injury present in athletic participation. I do hereby agree to indemnify and save harmless Utah Elevate Lacrosse, its agents, employees and officers from any and all claims, demands, actions, judgments, and executions which I may have or which my heirs, executors, administrators or assigns may have or claim to have against Utah Elevate Lacrosse, its agents, employees, officers, parent-volunteers, successors in interest or assigns for all personal injuries, known or unknown, and to all known or unknown injuries to property, real or personal, caused by or arising out of participation in athletics including travel and related activities.^*

I agree

ELEVATE Lacrosse

Registration Form

Parent/Guardian Information