Please enable JavaScript in your browser to complete this form.6v6 Lacrosse League - Registration THANK YOU FOR SIGNING UP FOR THIS FUN 6v6 League! If you HAVE a team to play on: Please complete this form and put your team name. Players: If you DO NOT have a team to play on, please complete this form and put Free Agent as the team name. By completing this registration form, I agree that the participant understands that he/she attending the programs and using Dayton Sports Complex and the facilities does so at his/her own risk. Dayton Sports Complex and its owners, employees or agents, shall not be liable for any damage whatsoever arising from any personal injury or property loss sustained by participant with his/her family in or about any programs on the premises. Participants and parents assume full responsibility for all injuries and damages which occur in or about any programs on the premises, She/he does hereby fully and forever release discharged hold harmless Dayton Sports Complex, all associated facilities and its owner, employees, and agents from any and all claims, demands, damages or rights of action, present or future resulting from any person’s participation in any programs or use of the facility. In addition, he/she agree(s) to follow the rules of conduct and play set by Dayton Sports Complex. Failure to do so may result in suspension from participation. Consent: I the undersigned parent or guardian/participant do hereby grant authority to the staff at Dayton Sports Complex to render a judgment concerning medical assistance or hospital care in the event of an accident or illness during my absence. I do hereby authorize Dayton Sports Complex and its assigns to utilize any and all photographs, pictures or other likeness of me or anyone assigned guardianship to me, as they deem appropriate in its promotional materials or team films. No refunds will be given unless the season is cancelled, Choose a SeasonPlease Choose OneWinter League (Dec/Jan/Feb) Dayton, OH (includes fees & taxes) - $ 150.00Please Select Division *Please Choose OneBOYS High SchoolGIRLS High SchoolBOYS 7th/8th GradeGIRLS 7th/8th GradeBOYS 5th/6th GradeBOYS 3rd/4th GradeTeam Name: (put Free Agent if you do not have a team): *Team Contact/Coach Name: *FirstLastPlayer's First Name *Player's Last Name *Gender *Please Choose OneFemaleMaleSchool *Grad Year *Please Choose One202420252026202720282029203020312032Date of Birth *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Player PositionPlease Choose OneField PlayerGoalieParent/Guardian Name *FirstLastParent/Guardian Email *EmailConfirm EmailParent/Guardian Cell Phone *Comments/Additional Notes/Team Request (not guaranteed)PayPal Commerce *This page is not secure. PayPal Commerce payments should be used for testing purposes only.PayPal CheckoutCredit CardCard NumberExpiration DateSecurity CodeCard Holder NameSubmit