West Houston Cannons Lacrosse: Lady Cannons
Lady Cannons Registration
Lady Cannons of the
West Houston Cannons Lacrosse Club
Attached is the paperwork you need for registration. We are very excited and want you to know that we want this season to be a great time for the players as well as the parents. We also want to let you know we are committed to making this program as successful as possible.
Registration Fees:
$100.00 per player
Includes: Uniform, game officials, field fees and club training equipment.
Registration Day:
The Cannons Registration Kick-Off will be @ Nottingham Elementary Saturday, Jan 21st, 28th and Feb 4th at 2:30pm
This will be a great way for players to throw around and do drills with the coach as well as a drop-off for signed registration papers and payments.
Make checks payable to: West Houston Canons Youth Lacrosse Club
Playing Time Policy
WHLC believes that all youth lacrosse players need ample playing time during both practices and games to develop in a sport and to get the most enjoyment out of the game
We follow a simple equation:
Attendance** + Effort + Attitude = Playing Time
Players who attend practice, try hard and follow the Code of Conduct will receive ample playing time. Players who do not attend every practice, do not show up on time, do not try their hardest and do not show respect for coaches, officials, opponents, and teammates will not get as much playing time as teammates. Please discuss this policy with your child
Refund Policy
| Date Refund Requested | Entitled Refund Amount |
| On or Before Feb 15th | Full Amount minus $25 |
| No Refund after Feb 15th |
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REGISTRATION FORM 2010- 2011
PLEASE PRINT CLEARLY:
| CHILD’S FULL NAME |
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| DATE OF BIRTH |
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| SCHOOL |
| GRADE |
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| PARENT/GUARDIAN NAME |
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| ADDRESS |
| ZIP |
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| HOME PHONE NUMBER |
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| |
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| FATHER’S CELL # |
| FATHER’S WORK # |
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| MOTHER’S CELL# |
| MOTHER’S WORK # |
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| US LACROSSE #* |
| EXPIRES |
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| Jersey size : _____ Short size :______ |
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* US LACROSSE MEMBERSHIP CAN BE PURCHASED AT HYPERLINK "http://www.lacrosse.org"www.lacrosse.org. ALL PLAYERS ARE REQUIRED TO HAVE THIS IN ORDER TO COMPLETE REGISTRATION.
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PROOF OF INSURANCE AND EMERGENCY MEDICAL TREATMENT CONSENT
*Please attach a copy of your insurance card (Front and Back)
Name of Player _________________________________________________________
Grade ____School________________ Date of Birth __________Height________Weight_____
Name of Parent/Guardian__________________________________________________
Home Phone ____________________________ Cell Phone ______________________
Emergency Contact: ______________________________________________________
US Lacrosse # ___________________________ Expires _________________________
Insurance Carrier________________________ Phone #_________________________
Employer ______________________________ Group ___________________________
Insured________________________________ ID#_____________________________
INSURANCE REQUIREMENTS: The player named above understands and agrees that primary medical insurance coverage is required to be provided by the Player in conjunction with the Player’s participation in any field lacrosse playing activity (including, with limitation, practices, scrimmages, league play in and out of season, playoff, tournament and all-star games).
CHANGE IN INSURANCE STATUS: In the event the Player’s primary medical insurance coverage terminates during this period, the Player agrees to immediately withdraw from participation in all playing activities and notify his/her club of the change in insurance status.
FAILURE TO PROVIDE INSURANCE: No member of the club may permit any Player to participate in any lacrosse playing activity until and unless the League/Association has received Proof of Insurance in accordance with its rules and regulations.
I acknowledge and agree to these terms and conditions.
Player Signature: ______________________________Date: _____________________
Parent/Guardian Signature: ______________________Date:______________________
EMERGENCY MEDICAL TREATMENT CONSENT: I CONSENT TO HAVE ANY WEST HOUSTON LACROSSE CLUB ADULT VOLUNTEER ACT IN MY BEHALF SHOULD AN EMERGENCY ARISE AND HEREBY GRANT PERMISSION TO SAID VOLUNTEER TO AUTHORIZE MEDICAL ATTENTION RECOMMENDED BY A PHYSICIAN, NURSE HOSPITAL, OR EMERGENCY MEDICAL PERSONNEL.
Known allergies, medical conditions or considerations(s) ____________________________________
Parent/Guardian Signature_______________________________Date__________________________ Insurance Company Authorization: I authorize the above insurance company to provide the League/Association and/or Hospital with all information necessary to verify my medical insurance coverage.
Amateur Athletic Minor Waiver and Release of Liability
In consideration of being allowed to participate in any way in the WEST HOUSTON CANNONS LACROSSE CLUB athletic sports program, related events and activities, the undersigned acknowledges, appreciates, and agrees that:
Participant, whose signature can be found immediately below, will be engaging in activities involving risk of serious injury including potential for permanent paralysis or death. And while particular rules, equipment and personal discipline may reduce the risk, the risk or serious injury does exist: and
I/we knowingly and freely assume all foregoing risks, both known and unknown, even if arising from the negligence, actions, or inaction of the Releases or others, and assume full responsibility for Participant’s event/activity participation: and
I/we will inspect facilities and equipment to be used and will comply with stated terms and conditions for participation. If any unusual significant hazard is observed in the participant’s presence or participation, Participant should remove himself/herself from participation and bring such hazard to the attention of the nearest official or coach immediately; and,
I/we release, waive, discharge and covenant not to sue, WEST HOUSTON CANNONS LACROSSE CLUB, their officers, officials, agents, coaches, and if applicable, owners and lessors of premises used to conduct any event (“Releasees”) with respect to any and all injury, disability, death, or loss or damage to person or property, whether arising from the negligence of the Releasees or otherwise; and,
I/we agree (that) due to the varying times and point of departure for scheduled events, adult volunteers cannot/will not monitor whether Participant has permission to ride with another team member at any time.
I/we agree participant/player assumes responsibility to secure his/her legal guardian’s permission to ride with another team member to any game/event.
Participant Signature _________________________________Date ___________________________
Printed Name of Participant ___________________________________________________________
Address/City/State/ZIP_______________________________________________________________ FOR PARTICIPANTS OF MINORITY AGE (Under Age 18 at Time of Registration)
This is to certify that as legal guardian(s) for Participant _____________________________, do consent and agree to his/her release as provided above of all the above Releasees. And for my self, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child’s involvement or participation in these programs as provided above.
I/we have read the above waiver and release any assumption of risk agreement found above. I/we understand I/we have given up substantial rights by signing it and sign it freely and voluntarily without any inducement.
Parent/Legal Guardian_____________________________Relationship_____________________Date________________
Printed Name of Parent/Legal Guardian__________________________________________________________________
Parent/Legal Guardian____________________________Relationship_____________________Date________________
Printed Name of Parent/Legal Guardian____________________________________________________
Sunday, January 23
Introducing the Lady Cannons
Lady Cannons Lacrosse
Come join the fastest growing sport in the US. Lacrosse is like playing soccer with a stick. It’s a fast game that requires hand-eye coordination and conditioning.
The Lady Cannons are part of the West Houston Cannons Lacrosse Club. The Lady Cannons will start with a squad of 1st thru 8th graders. Practices initially are held at Nottingham Elementary on Saturday afternoons.
The Lady Cannons will be coached by Chris Vega and Maria Cruz. Chris has played college lacrosse while Maria is a PE Coach at Nottingham Elementary. The Lady Cannons are a great compliment to the Cannons existing boys squads comprised of 4th thru 8th graders. We expect girls from the high school club Katy Valkyries to also help teach lacrosse fundamentals.
The lacrosse season starts late January and goes thru the end of May. The club expects to play 3-4 games in late May.
Please call Brian Cybul at 281-299-8007 or email Chris Vega at HYPERLINK "mailto:txcvega@comcast.net" txcvega@comcast.net with questions. More information is also available on the Cannons’ website HYPERLINK "http://westhoustoncannonslacrosse.com" http://westhoustoncannonslacrosse.com
Fast Facts
Lacrosse Registration
Who: Girls 1st thru 8th Grade
When: Saturday Jan 22, 29th and Feb 4th.
Where: Nottingham Elementary
Time: 2:30 pm

