• Shaler Area Lacrosse - 2026 Fall Registration

    The 2026 Fall Registration season runs from Mid-August through Mid-October.
  • How many athletes are you registering?

  • Athlete #1 Info

  • Select Age Group (1st - 8th grade during the 2026-2027 school year)*

  • To obtain or renew your USA Lacrosse Membership, please visit https://www.usalacrosse.com/membership and select the “22U Player” category. Note: Memberships are good for 1 year and can be utilized for all your lacrosse seasons/clubs within that time frame.

  • Does your player have a uniform from the 2026 Spring Season?*
  • Birthdate*
     - -
  • Were you referred by another lacrosse player?*
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  • Does this athlete have medical insurance?*

  • Athlete #2 Info

  • Select Age Group - Athlete #2 (1st - 8th grade during the 2026-2027 school year)*

  • To obtain or renew your USA Lacrosse Membership, please visit https://www.usalacrosse.com/membership and select the “22U Player” category. Note: Memberships are good for 1 year and can be utilized for all your lacrosse seasons/clubs within that time frame.

  • Does your player have a uniform from the 2026 Spring Season?*
  • Birthdate - Athlete #2*
     - -
  • Were you referred by another lacrosse player? - Athlete #2*
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  • Does this Athlete have medical insurance? - Athlete #2*

  • Athlete #3 Info

  • Select Age Group - Athlete #3 (1st - 8th grade during the 2026-2027 school year)*

  • To obtain or renew your USA Lacrosse Membership, please visit https://www.usalacrosse.com/membership and select the “22U Player” category. Note: Memberships are good for 1 year and can be utilized for all your lacrosse seasons/clubs within that time frame.

  • Does your player have a uniform from the 2026 Spring Season?*
  • Birthdate - Athlete #3*
     - -
  • Were you referred by another lacrosse player? - Athlete #3*
  • Browse Files
    Drag and drop files here
    Choose a file
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  • Does this Athlete have medical insurance? - Athlete #3*

  • Parent Info

  • Contact Info

  • Format: (000) 000-0000.

  • Emergency Contact Information #1

    In addition to the parent information above
  • Format: (000) 000-0000.

  • Emergency Contact Information #2

  • Format: (000) 000-0000.

  • Photo/Publicity Release Form 2025-2026

  • The Shaler Area Lacrosse may, as in part of its community function, photograph, record and/or video the activities of its lacrosse programs. These photographs, recordings and/or videos may be used in publications, print ads, direct-mail pieces, electronic media (i.e. websites video, Internet, etc.) or other forms of promotion. By signing this form you are granting Shaler Area Lacrosse permission to use any photographs, records and/or videos of your child(ren) in its publicity efforts and/or promotional material. You are further releasing Shaler Area Lacrosse, the photographer, their officers, volunteers, and designees from any liability for any violation of personal, privacy or proprietary rights that may be associated with the use of any photographs, recordings, or videos by Shaler Area Lacrosse.

  • I give Shaler Area Lacrosse permission to take and use my child's photo?*
  • Date*
     - -

  • Permission to Participate in Shaler Area Lacrosse and Liability Waiver

  • We, the parents/guardians of (Athlete's name) * give my/our permission for him/her to participate in Shaler Area Lacrosse program. In giving this permission, we assume ANY and ALL liability for injury to my/our child.

  • Date*
     - -

  • Assumption of Risk, Waiver, & Release from Liability

    FOR PERSONS UNDER EIGHTEEN YEARS OF AGE, A PARENT OR LEGAL GUARDIAN MUST COMPLETE AND SIGN THIS FORM. A COPY OF THIS FORM MUST BE KEPT WITH EACH PARENT PRESENT AT THE ACTIVITY, AS WELL AS THE PARTICIPANT, AND ONE SUBMITTED TO THE ORGANIZATION. PLEASE READ CAREFULLY BEFORE SIGNING THIS ASSUMPTION OF RISK, WAIVER, AND RELEASE FROM LIABILITY.

  • Names of Programs to be Released: Shaler Area Lacrosse, Shaler Area School District (facility owner), any other facility being used by Shaler Area Lacrosse

    Lacrosse Activities: Lacrosse Practice, Lacrosse Tournaments, Lacrosse Games, or any other event hosted, held or involving Shaler Area Lacrosse

    Location of Activity/Program: Various public and private facilities and located in Western Pennsylvania

    Dates of Activity/Program: From August 2026 to August 2027

      

    1. ASSUMPTION OF THE RISK. The undersigned assumes all risks which are foreseeable and involved with or may arise out of his or her voluntary participation in Lacrosse Practice, Lacrosse Tournaments, Lacrosse Games, or any other event hosted, held or involving Shaler Area Lacrosse, and/or related Lacrosse activities, or his or her child’s voluntary participation in Lacrosse Practice, Lacrosse Tournaments, Lacrosse Games, or any other event hosted, held or involving Shaler Area Lacrosse or related Lacrosse activities, including, but not limited to, the negligent and or willful and wanton acts of others, the criminal and or intentional acts of others, the omission of an act of another, a defect or condition of the premises, a defect in the vehicles used for transport, or the unavailability of emergency care. The undersigned does not assume the risks of injuries caused by the gross negligence, or willful or wanton misconduct of any officials, officers, employees, volunteers, or agents of Shaler Area Lacrosse.

     

    2. RELEASE. The undersigned releases Shaler Area Lacrosse, the Shaler Area School District and their respective officers, trustees, employees, volunteers, and agents, from, and agrees not to initiate litigation on account of or in connection with, any claims, causes of action, injuries, illnesses, damages, and/or cost of expenses arising out of the activities involved in lacrosse training/practices, scrimmage matches, exhibition matches, and/or related lacrosse activities, including, but not limited to, sprains or torn ligaments, tendons, and muscles; broken bones; bruises; concussions; dislocations; cuts; allergic reactions; injuries due to physical contact with other participants, playing surfaces, and equipment; and other physical, mental, and emotional injuries including those claims, causes of action, injuries, illnesses, damages, and/or cost of expenses based on death, bodily injury, or property damage whether or not caused by the negligence or other fault of the parties being released.

     

    3. COVID-19: I understand the hazards of the novel coronavirus (“COVID-19”) and am familiar with the Centers for Disease Control and Prevention (“CDC”) guidelines regarding COVID-19. I acknowledge and understand that the circumstances regarding COVID-19 are changing from day to day and that, accordingly, the CDC guidelines are regularly modified and updated, and I accept full responsibility for familiarizing myself with the most recent updates. Notwithstanding the risks associated with COVID-19, which I readily acknowledge, I hereby willingly choose to participate/attend in the Activities identified above. I acknowledge and fully assume the risk of illness or death related to COVID-19 arising from my being in or about the Location of Activity/ Program and participating/attending in the Activities and hereby RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE (on my behalf and any minor children for whom I have the capacity to contract) Shaler Area Lacrosse, the Shaler Area School District and their respective owners, officers, directors, agents, employees, volunteers, and assigns from any liability related to COVID-19 which might occur as a result of my participation/attendance in the Activities.

     

    4. WAIVER. The undersigned waives the protection afforded by any statute or law in any jurisdiction whose purpose, substance, cause and/or effect is to provide that a general release shall not extend to claims, material or otherwise, which the person giving the release does not know or suspect to exist at the time of executing this release. This means, in part, that the undersigned is releasing unknown future claims.

     

    5. INDEMNITY AND DEFEND. The undersigned agrees to indemnify and defend Shaler Area Lacrosse, the Shaler Area School district and their respective officers, trustees, employees, volunteers and agents (hereinafter jointly referred to as “indemnitees”) against, and hold them harmless from, any and all claims, causes of action and/or damages for bodily injury, infection of COVID-19 or any other illness, death and/or damage to or destruction of any property that may result to the undersigned, the undersigned’s child, or anyone else.

     

    6. MEDICAL CARE. I understand and agree that Shaler Area Lacrosse may not be able to provide medical personnel at all times. I hereby give my consent to an officer, trustee, employee, volunteer and/or agent to provide me with medical assistance and/or treatment in the event of an emergency. I also agree to allow Shaler Area Lacrosse to share any and all medical information about me with any party called to assist in my care. Finally, I agree to save and hold harmless and indemnify Shaler Area Lacrosse from all liability, loss, cost, claim, lawsuit, or damage, whatsoever, including injury, death, or property damage, which may be imposed upon Shaler Area Lacrosse because of any defect in or lack of such capacity to so act or caused, or alleged to be caused, in whole, or in part, by the negligence of the released parties.

     

    7. JURISDICTION/VENUE/GOVERNING LAW: The protections provided by this Assumption of Risk, Waiver, and Release from Liability only enhance those protections already provided by the laws of the Commonwealth of Pennsylvania. This Assumption of Risk, Waiver and Release from Liability shall be construed and enforced according to the laws of the Commonwealth of Pennsylvania, and any action to enforce any provision contained herein shall be brought exclusively in the Court of Common Pleas of Allegheny County, Pennsylvania.

     

    8. SEVERABILITY. If any provision of this Agreement is prohibited, invalidated, or unenforceable in any jurisdiction, that provision will, as to that jurisdiction, be ineffective to the extent of the prohibition, invalidity or unenforceability without invalidating the remaining provisions of this Agreement or affecting the validity or enforceability of that provision in any other jurisdiction, unless it materially alters the nature or material terms of this Agreement.

     

    9. ACKNOWLEDGEMENT. THE UNDERSIGNED HAS READ AND UNDERSTANDS THIS AGREEMENT AND REALIZES IT RELATES TO SURRENDERING AND RELEASING VALUABLE LEGAL RIGHTS AND DOES SO FREELY AND VOLUNTARILY. MOREOVER, THE UNDERSIGNED UNDERSTANDS THAT HIS OR HER PARTICIPATION/ATTENDANCE IN THE ABOVE NOTED ACTIVITIES OR HIS OR HER CHILD’S PARTICIPATION/ATTENDANCE IN THE ABOVE NOTED PROGRAM IS VOLUNTARY.

  • Date*
     - -

  • Registration Fees

    Age Registration Fundraising Uniform
    8U $100 $100 $0
    10U $100 $100 $0
    12U $100 $100 $0
    14U $100 $100 $0

    *Multiple Athlete discount = $25 per athlete

    *The fundraising fee is recouped through the sale of the lottery raffle tickets. 

  • Payment Amount

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