Please ensure that every box is filled in and you provide us with the most accurate information possible. Your registration is for spring 2017.

This form may also be printed and mailed to BRIDGE Lacrosse

(PO BOX 190844 Dallas TX 75219)

STUDENT-ATHLETE INFORMATION
Select Your Team *
Which competitive Bridge team would you like to join?
Join or Renew at uslacrosse.org
Please enter the expiration date for your student-athlete's USL number
Date of Birth *
Date of Birth
(as of time of registration)
Student-Athlete Phone (if applicable)
Student-Athlete Phone (if applicable)
Student-Athlete Race *
Does your student-athlete qualify for free/reduced lunch? *
As an urban nonprofit, we use this data to understand the communities we serve and for grant writing/funding purposes.
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STUDENT-ATHLETE MEDICAL INFORMATION
PARENT/GUARDIAN INFORMATION
Parent/Guardian Mobile Phone #1 *
Parent/Guardian Mobile Phone #1
Parent/Guardian Mobile Phone #2
Parent/Guardian Mobile Phone #2
Optional
MANDATORY SPRING TRAINING CAMP
Every spring we host our spring training camp/kick-off event. Jan 14th from 9a-6p. Training camp will include practices, leadership and character workshops, as well as a parent workshop and info session. Absence from training camp will affect student-athletes opportunities to attend SummerBounce (east coast trip), and summer camp scholarships. Please save the date for this important event for the Bridge Family. *
PARENT/GUARDIAN LIABILITY RELEASE
I, the undersigned, do hereby give my full consent and assume, knowingly and freely, any and all the risks of participating in any and all activities of Bridge Lacrosse Dallas Inc. As the parent and/or legal guardian, for my participating child to participate in any and all activities of Bridge Lacrosse Dallas Inc. I recognize that involvement in this program requires a commitment on the part of me and my child. I assume all of the risks associated with participating as a member of Bridge Lacrosse Dallas Inc. I hereby agree to protect Bridge Lacrosse Dallas, Inc., The Dallas/Fort Worth Youth Lacrosse League, US Lacrosse, US Lacrosse North Texas Chapter, the Dallas Independent School District, St. Philip’s School and Community Center, Texas High School Lacrosse League, Texas Girls Youth Lacrosse League, Texas High School Girls Lacrosse League, and their representatives, employees, agents, volunteers, coaches and officials, and do hereby hold all such people and entities, harmless of and from any loss, liability, claim, injury, damage or expenses of any nature whatsoever which might be incurred, or otherwise accrue, to my child or the undersigned, by virtue of his participation in or being present during the course of the program year. This includes, but is not limited to, travel to and from. *
Letter of expectations from the bridge board of directors
Welcome to the Bridge Family! We are a sports-based, youth development, nonprofit organization whose mission is to use lacrosse to broaden the horizons of our community’s youth. The vision of Bridge is for all youth to have access to the unique benefits provided by and through participating in lacrosse. As a participant of Bridge Lacrosse, the Bridge Board of Directors, would like to share more about our role and your role as a parent and guardian in the success of your studentathlete and the Bridge organization. The foundation of Bridge is family. We are an organization united by our common goal of using lacrosse to grow and develop the youth we serve in the program. As an organization serving your student-athlete, we have created a process and program that works to achieve success for all Bridge youth, both on and off the field. One of our goals is to ensure trust is being built between all board members, staff, volunteers, student-athletes and their families. Please know, that you can and should expect nothing but support and advocacy for every Bridge student-athlete. We can manage the process for achieving success on and off the field through character and skill development but we cannot always control the outcome of the games. We do know if your student-athlete prepares and executes to the best of their abilities, tries hard, stays positive, and supports their teammates; and if we all work together as a team and family, we will give ourselves the best chance for success. And, while we will always strive to compete and win games, we do not allow competition and winning to define success or overshadow opportunities to teach life lessons, build character, or demonstrate sportsmanship and integrity. Your faith in us and our volunteers to work with your student-athlete to prepare them for the challenges they may face, on and off the field, is invaluable. That responsibility is not taken l ightly by anyone involved with the Bridge organization. Bridge has ten values - positivity, sportsmanship, teamwork, respect, family, accountability, family, integrity, equality, and opportunity - with family, sportsmanship, and integrity being the three core values. We ask everyone in the Bridge family to embrace and demonstrate our core values at home, school, church, work, and all other aspects of everyday life. As a parent and guardian you play a key role by serving as both a role model and as a fan for your student-athlete. For Bridge, we believe in doing the little things well. Sometimes a simple “good luck”, “great work, or “you played well” is ofte n enough. Positive encouragement, modeling and teaching good sportsmanship, and supporting the coaches and other student-athletes are all ways you can be an exemplary sports parent. The laughs and tears, the cheers and high fives, the hard work and dedication, the wins and losses are all part of being a member of the Bridge family. We are incredibly fortunate to have such a great group of athletes and parents involved in the Bridge organization. In our continuous effort to improve Bridge, we welcome your thoughts, questions, and feedback on how we can better serve the youth of the Dallas community. Thank you for your support and we look forward to a great season! *
MEDICAL RELEASE
I certify my child is physically fit to participate in Bridge Lacrosse programming and all its components. I understand that it is my responsibility to provide any insurance deemed necessary by me to cover any injury to my child while in this program, including membership for my child in US Lacrosse. *
DFW LACROSSE LEAGUE LIABILITY WAIVER
In consideration of being allowed to participate in the DFW Lacrosse, Inc.’s (DFWL) all, Winter, Spring and Summer leagues, tournaments, development skills sessions, camps, athletic sports program, and any related events or activities, the participant and his parent or legal guardian acknowledge and agree as follows: 1. The parents or legal guardian of the participant are solely responsible for determining if the participant is physically fit and/or adequately skilled for lacrosse and all the activities contemplated by this agreement. It is always advisable, especially if the participant is disabled in any way or recently suffered an illness, injury or impairment, to consult a physician before undertaking any physical activity. 2. The participant is responsible for wearing protective and well-maintained equipment, and his parents and legal guardians are responsible for ensuring that he has and is wearing all required protective equipment. WARNING OF RISKS 3. Lacrosse is a sport intended to challenge and engage the physical, mental and emotional resources of each participant. However, despite careful and proper preparation, instruction, medical advice, conditioning and equipment, there is still a risk of serious injury, known and unknown, including but not limited to head/brain injury, neck and back injury, and bone and joint injuries. Understandably, not all hazards and dangers can be foreseen. Because lacrosse is a contact sport played with little equipment and because it puts great demands on stamina, the very nature of the game of lacrosse is risky. Such risks and dangers include, but are not limited to, being hit with the ball, colliding with other players and stationary objects, illegal acts and rule violations, slip and falls, failing to wear protective equipment, inadequate footwear, unsafe or worn out-out equipment, heat exhaustion, acts of God, inclement weather, poor officiating, dangerous playing conditions, poor field conditions, ruts/holes/imperfections on the playing field and adjacent areas, inadequate supervision or officiating, and all other circumstances inherent to sport of lacrosse and outdoor recreational activities.. 4. The social and economic losses and damages that could result from the risks and dangers described above could be severe. 5. These risks and dangers may be caused by the action, inaction, negligence of the participant, or by the action, inaction, negligence of others, including, but not limited to, the Released Parties identified below. ASSUMPTION OF THE RISKS 6. THE PARTICIPANT, AND EACH OF HIS PARENTS AND LEGAL GUARDIANS, KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASED PARTIES (defined below) or others, and assume full responsibility for any and all injuries resulting from the student participant’s presence at or participation in games, practices, travel and all other events relating to DFWL. 7. We willingly agree to comply with the stated and customary terms and conditions for participation. If, however, we observe any unusual, significant hazard during our presence or the student participant’s participation, we will remove the participant from participation and bring such to the attention of the nearest official immediately. RELEASE, WAIVER AND INDEMNITY 8. WE EACH, FOR OURSELVES AND ON BEHALF OF OUR HEIRS, ASSIGNS, PERSONAL REPRESENTATIVES AND NEXT OF KIN, HEREBY RELEASE, WAIVE, DISCHARGE, COVENANT NOT TO SUE AND HOLD HARMLESS DFWL, INC., ITS DIRECTORS, OFFICERS, COACHES, EMPLOYEES, VOLUNTEERS, AUTHORIZED REPRESENTATIVES, SPONSORS, AND ADVERTISERS, AND THE OWNERS AND LESSORS OF ANY PREMISES USED TO CONDUCT ANY EVENT (COLLECTIVELY “THE RELEASED PARTIES”), OF AND FROM ANY AND ALL LIABILITY TO THE UNDERSIGNED, AND OUR PERSONAL REPRESENTATIVES, ASSIGNS, EXECUTORS, HEIRS AND NEXT OF KIN, FOR ANY CLAIMS, DEMANDS, LOSSES OR DAMAGES, ON ACCOUNT OF ANY BODILY INJURY, INCLUDING BUT NOT LIMITED TO THE DEATH OF THE PARTICIPANT, ANY PSYCHOLOGICAL INJURY, OR ANY PROPERTY DAMAGE, ARISING OUT OF OR RELATING TO THE PARTICIPANT’S PRESENCE AT OR PARTICIPATION IN GAMES, PRACTICES, TRAVEL AND ALL OTHER EVENTS RELATING TO THE DFWL, TO THE FULLEST EXTENT PERMITTED BY LAW, WHETHER CAUSED OR ALLEGED TO BE CAUSED, IN WHOLE OR IN PART, BY THE NEGLIGENCE OF ANY OF THE RELEASED PARTIES, OR OTHERWISE. 9. We understand that the foregoing release of liability and waiver of claims is intended to be as broad and inclusive as permitted by the laws of the State of Texas and agree that if any portion is held invalid, the remainder of the waiver will continue in full legal force and effect. By registering the minor participant with the DFWL and assenting to this Agreement, I represent that: (a) we, the participant, my spouse, if any, and each other parent or legal guardian that the minor participant may have, have read this agreement, fully understand and assent to being bound by its terms; (b) we understand that we are giving up substantial rights by assenting to the Agreement, and have assented to the Agreement freely and voluntarily without any inducement, assurance, or guarantee being made to any of us; (c) I have the authority to assent to this Agreement on behalf of the participant, my spouse, and all other parents and legal guardians of the minor participant; and (d) our acceptance of this Agreement is a complete and unconditional release of all present or future liability on the part of the Released Parties to the greatest extent allowed by law. *
DFW LACROSSE ELIGIBILITY
Teams playing in the DFWL will be "community" based, which will often mean geographically- based, however, the term "community" is not limited to geographic regions. For example, a religious-based program may define a valid community within division play (e.g., a community team may be a "common religious belief"-based team or a "home-schooled" team). It is the desire of the DFWL to create a funnel-up type program in which a player would play for the DFWL program that they would play for the THSLL program to where they live or attend school, and mirror the THSLL eligibility rules as closely as possible. First: A player shall play for his or her school if that school has a program. Second: If the player􏰀s school does not have a team, the player will play for the nearest community or school based team assuming the player meets the eligibility requirements of the nearest program. (Private schools may require you to attend the school to participate on a team. With the rapid growth of the sport, some other programs may require players to physically reside within certain boundaries.) Third: If a player lives in a community without a lacrosse program they may play for the nearest program to where they live. WE WILLINGLY AGREE TO COMPLY WITH THE ABOVE STATED DFW LACROSSE LEAGUE ELIGIBILITY RULES AND CONFIRM OUR REGISTERED PLAYER MEETS THE ELIGIBILITY REQUIREMENTS FOR THIS PROGRAM AND ARE PLAYING FOR THE SCHOOL THEY ATTEND, OR THE COMMUNITY PROGRAM FOR THE SCHOOL DISTRICT THEY LIVE IN. IF FOUND TO BE INELIGIBLE, YOUR TEAM COULD BE SUBJECT TO PENALTIES INCLUDING, BUT NOT LIMITED TO, PLAYOFFS AND CHAMPIONSHIP GAME OPPORTUNITIES. *
MEDIA RELEASE
I agree to my child’s participation in all Bridge Lacrosse program-sanctioned events and understand my child’s likeness may be used in photograph, video, internet or other media and that compensation is not expected or provided. *
SURVEY/QUESTIONNAIRE RELEASE
I agree to allow my child to participate in surveys that seek to measure the impact of Bridge programs on all student-athlete participants. We will be passing out questionnaires measuring how sports, like lacrosse, can be a positive influence in the lives of our student-athletes. The research will utilize surveys such as the Self-Efficacy Questionnaire for Children (SEQ-C), which is a 24 item questionnaire that asks fairly basic and simple questions. Along with the questionnaire are questions that deal with demographic information. This information will remain entirely confidential, and absolutely no information regarding your student-athlete’s information will be made public. The information will be assessed to show any significant quantitative benefits of Bridge programming. Following both the pre and post surveys administered by our researcher, the information will be assessed and possibly published as a research article. Participation in these questionnaires in voluntary by both you (the parent/guardian) and the student-athlete. There will be no immediate benefit or affect in services choosing either to or not to participate. We believe that this information will allow us to understand the overall impact of our organization. *
Digital Signature
Standard signature required if returning a printed hard copy.