Nomination Form | High School Lacrosse

June 18-19, 2024

High School Lacrosse
Queens University Sports Complex
Charlotte, NC

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BODYARMOR State Games High School Lacrosse Nomination Form

This form is only taking wait list registrations.

Please complete this form to confirm or reject your nomination to be a part of our event. You will see that there is a $50 charge but the form is in waitlist mode so the charge will not go through when you hit "Reserve Now" at the bottom of the page. Once final rosters have been selected for the event, those selected to compete will be removed from the waitlist and payment will be processed. All others will be removed and no payment will go through.

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Participant Information

Contact Email *

Participant First Name *

Participant Last Name *

Participant Birthdate *

Participant Gender *

Male

Female

Country *

Street Address (w/Apt#) *

City *

State *

Zip Code *

Phone *

Would you like to receive important event text alerts on this number (eg. changes or delays)?

Emergency Contact Name *

Emergency Phone *

PARENT/GUARDIAN E-MAIL ADDRESS *

High School *

COUNTY (WHERE YOUR SCHOOL IS LOCATED) *

Graduation Year *

Height

Weight

Preferred Jersey Size *

PRIMARY/PREFERRED POSITION *

Goalie

Midfield/FOGO

Defense or LSM

Attack

Center

SECONDARY POSITION(S) (MAY SELECT MORE THAN ONE) *

Goalie

Midfield/FOGO

Defense or LSM

Attack

Center

NAME OF LACROSSE CLUB/TEAM OUTSIDE OF SCHOOL

PLEASE LIST RELEVANT ACHIEVEMENTS AND/OR ACCOMPLISHMENTS IN LACROSSE THAT YOU THINK WE SHOULD KNOW ABOUT.

GPA

SAT Score

ACT Score

COLLEGE COMMITMENT

SOCIAL MEDIA HANDLES (TWITTER/INSTAGRAM)

BODYARMOR State Games Code of Conduct & Ejection Policy

Click here to view the BODYARMOR State Games Code of Conduct & Ejection Policy.

I have read, understand and agree to the BODYARMOR State Games Code of Conduct & Ejection Policy. *

BODYARMOR State Games Refund Policy

The $50 fee will only be charged to those players selected for the final roster. Once payment has been processed, there will be NO REFUNDS unless an event/division is canceled or a participant is found to be ineligible because of a failure to meet residency or age requirements. In order to protect the health and safety of all participants, I understand and agree that North Carolina Amateur Sports may determine that the event needs to be terminated at any point during the event with no refund and that I may no longer be able to participate or compete in the event. There will be no refunds for bad weather situations, force majeure events, acts of God, etc.

I acknowledge that I have read and agree to the BODYARMOR State Games Refund Policy. *

Click here to review the BODYARMOR State Games Privacy Policy.

Waiver *

In consideration of being allowed to participate in any way in North Carolina Amateur Sports (NCAS) and State Games of North Carolina related events, programs and activities, the undersigned acknowledges, appreciates and agrees that:

1. The risk of injury from the activities involved in State Games of North Carolina is significant, including the potential for permanent paralysis and death; and,

2. I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the Releasees or others, and assume full responsibility for my participation; and,

3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however I observe any unusual significant hazard during my participation, I will remove myself from participation and bring such to the attention of the nearest NCAS/ State Games of North Carolina representative; and,

4. I expressly acknowledge and understand that the risks associated with having contact with individuals who have been exposed to and/or have been diagnosed with one or more communicable diseases, including, but not limited to, COVID-19 or other medical conditions, diseases, or maladies, do exist, and it is impossible to eliminate the risk that I could be exposed to and/or become infected through contact with or being in close proximity to an individual having a communicable disease, whether such individual may be symptomatic or asymptomatic; and,

5. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby forever release, indemnify and hold harmless NCAS/BODYARMOR State Games of NC, National Congress of State Games, their officers, officials, agents and/or employees, volunteers, other participants, sponsoring agencies, sponsors, advertisers and, if applicable, owners and lessors of premises used to conduct the event ("Releasees"), WITH RESPECT TO ANY AND ALL INJURY (INCLUDING, WITHOUT LIMITATION, CONTRACTION OF DISEASES), DISABILITY, DEATH OR LOSS OR DAMAGE TO PERSON OR PROPERTY, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE; and,

6. I grant to North Carolina Amateur Sports my permission to use without charge any and all photographs, video reproductions or other like kinds of image productions taken during the event; and,

7. I understand that staff of both North Carolina Amateur Sports and the State Games of North Carolina are not responsible for loss, theft, or any damages to any of my personal property; and,

8. In order to protect the health and safety of all participants, I understand and agree that State Games of North Carolina staff may determine that the event may be cancelled, postponed or terminated at any time with no refund, I may not be able to participate or complete the event, and there will be no refunds for bad weather situations, force majeure events, acts of God, etc.; and,  

9. I agree that I will not issue a credit card chargeback or funds reversal at any time.

10. I understand and expressly acknowledge and agree that: (a) as a condition for my participation in any event sponsored or operated by North Carolina Amateur Sports, I will be subject to a required background check, and (b) I may not be allowed to participate if I fail any such background check.

Read through the agreement

By checking this box, you agree that you have read, understood and agreed to:
(i) the waiver(s) above * and
(ii) the N.C. Amateur Sports' Privacy Policy *,
and represent that you are 18 or older, or have the authority to register these participants and agree to the waiver(s) for them as their parent or legal guardian.

Is the participant 18 or older? *

18 or older Under 18

Payment Details

Discount or Tracking Code

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Price

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Handling

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Cardholder First Name

Cardholder Last Name

Cardholder Address

Cardholder Country

City, State, Zipcode

Credit Card #

Exp. Date

CVV Code

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