Player Registration – National Lacrosse Invitational Ward Melville

Fall Individual Player Registration

In order to register, your team must be listed below. Select your High School from the menu below. Registration is complete only with completed payment. A processing fee is assessed for anyone seeking a conflict refund or to change a player's personal information. For that reason, PLEASE REVIEW PLAYER INFORMATION BEFORE SUBMITTING.

1 Personal Info

2 Waiver Info

3 Payment Info

4 Confirm Info Before Submitting

Player Name*
First Last
Select Your High School (Players paying individually by credit card)
Select Your High School (Teams Paying by Check)
Graduation Year*
Has The Player made a College Verbal Commitment?*
- Yes
- No
Position*
- Attack
- Middie
- Defense
- Goalie
- Long Stick Mid
- FOGO
Player Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*

Do You Have an Active US Lacrosse Member Number?*
- Yes
- No
Please enter your US Lacrosse number*
US Lacrosse Number Expiration Date*
Date Format: MM slash DD slash YYYY
By agreeing below, I acknowledge that I have read and understand this form and further understand the terms herein are contractual and not a mere recital.*
- I agree
In consideration of participating in the National Lacrosse Invitational at Ward Melville, the player named above and the parent or guardian do hereby agree for ourselves, our heirs, executors and administrators, to release, hold harmless and forever discharge NLIWM and their officers, staff, administrators, volunteers, sponsors and representatives and assigns, for and against any and all claims, actions, cause of actions, suits, judgments, and demands whatsoever directly or indirectly in connection the player’s participation in the NLIWM.
TREATMENT/MEDICAL RELEASE AUTHORIZATION*
- I agree
I/we being the legal guardians of the applicant authorize the staff of the NLIWM and its agents permission to request treatment to ensure the well being of our dependent. I certify that he is in good health and able to participate in the scheduled games.
Refund Policy*
- I agree
Refunds are determined on a case-by-case basis. If you feel a refund is necessary for any reason, please send an email to nliwm1@gmail.com with all pertinent information about your situation prior to the start date of the event. Any refund that is approved for the following reasons: (family emergency, travel, non-verified injury) will result in a $20 administrative charge. Any refund that is approved for the following reasons: (doctor-verified injury, multiple registration) will result in a $10 administrative charge. No refunds will be approved after the event starts.

Credit Card Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Total
$0.00
Credit Card

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Visa and Mastercard Only.
Please review all of your submitted information. There is a $50 fee associated with changing this information in the future for our player book. If anything is incorrect, please go back and change it by clicking "Previous". {all_fields}

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Fall Individual Player Registration