Player Information: Camps


Please complete the following form to register for the Boys Lacrosse Camp at Champions Field House.

First Name:
Last Name:
Date of Birth
Parent/Guardian First Name:
Parent/Guardian Last Name:
Address:
City:
 State: Zip:
Home Phone:
 Work/Cell:
Email:
Grade:
Emergency Contact:
 Phone:
List any allergies or pertinent medical conditions:
*Please be sure to complete all the information.
   
Please select the date of camp:  
Boys Lax Camps
 
  $200 per camper      


Amateur Minor Athletic Waiver and Release of Liability

In consideration of being allowed to participate in any way in the Champion Fields House athletics/sports program and related sports and activities the undersigned:

 

RELEASE OF LIABILITY, AGREEMENT TO ARBITRATE—READ BEFORE SIGNING
INDEMNITY: PLAYERS SHALL PLAY AT THEIR OWN RISK. ANY BODILY INJURY OR DAMAGE TO PROPERTY OF OTHERS CAUSED BY CUSTOMER’S USE OF CHAMPIONS FIELD HOUSE IS THE SOLE RESPONSIBILITY OF THE CUSTOMER. AS AN EXPRESS CONDITION FOR RENTING OR UTILIZING THE DESIGNATED SPACE, THE CUSTOMER AGREES TO INDEMNIFY AND HOLD HARMLESS CFH, ITS OFFICERS, AGENTS, EMPLOYEES, OWNERS AND CONTRACTORS, FOR ANY AND ALL LOSSES, INJURIES, OR DAMAGES TO ANY PERSON OR THING THAT SHALL ARISE FROM CUSTOMER’S USE OF CHAMPIONS FIELD HOUSE.

In consideration of being allowed to utilize the CFH, its related events and activities, I, the undersigned, acknowledge, appreciate, and agree that:
  • I, for myself and as agent for those who will utilize the space which I have rented and/or any user or participant in any related CFH clinic, practice, league or other event HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS THE CFH, their officers, official agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used for the activity (“Releasees”),  WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property associated with my presence or participation, WHETHER ARISING FROM MY OWN NEGLIGENCE OR OTHERWISE to the fullest extent permitted by law.
  • I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE RELEASEES or others, and assume full responsibility for my OR MY CHILD’S participation; and,
  ARBITRATION AND CLASS ACTION RESTRICTION: Customer hereby agrees to resolve any and all disputes arising out of this contract which through binding arbitration and further to handle each potential claim on an individual basis and not through class action. Any controversy less than $2500 shall be limited to 2 hours or less by the ADR Representative. Said individual binding arbitration shall be administered by and under the rules of the “ADRMARYLAND” www.adrmaryland.com 1-888-88ADRMD under its Arbitration Rules and in Montgomery County, Maryland. Judgment on the award rendered by the Arbitrator(s) may be entered in any court having jurisdiction thereof. By agreeing to this the decision of the arbitrator is final the parties understand that they each waive their right to have such disputes resolved by trial by jury. The costs of arbitration shall be equally split by the parties pursuant to the rules of ADR Maryland.

SIGN
 I HAVE READ THE ABOVE WAIVER AND RELEASE, UNDERSTAND THAT I HAVE GIVEN UP
SUBSTANTIAL RIGHTS BY SIGNING IT AND SIGN IT VOLUNTARILY