Summer 2022 Boys Red JV Session June 23-24, 2022 Summer 2022 NHSLS Individual Player Registration Boys JV Red Session (June 23-24) In order to register, the box for the refund policy must be “checked” and select your High School from the menu below. Registration is complete only with completed payment. IF you feel you are due a refund for any reason, to avoid additional fees, PLEASE send an email to: jmayhorne@verizon.net Summer Sessions: $75.00 charge for a conflict refund within 7 days of the beginning of the NHSLS. $50.00 charge for a conflict refund outside of seven days from the beginning of NHSLS. $25 charge to refund a double registration. For that reason, PLEASE REVIEW PLAYER INFORMATION BEFORE SUBMITTING. 1 Personal Info2 Waiver Info3 Payment Info Player Name* First Last Team SelectionFind your school in one of the two options below. Some teams have prepaid by check, and some require individual players to register by credit card. ** If more than one high school is mistakenly selected during the registration process, the only way to correct is to begin a new registration. Select Your High School (Schools Having Players Pay by Credit Card)Black Grizzlies (MI)Calvert Hall (MD)Episcopal Dallas (TX)Gilman (MD)Haverford (PA)Loyola (MD)McDonogh (MD)Memphis University School (TN)Mt. St. Joseph (MD)Paul VI (VA)Ridgewood (NJ)Roswell (GA)Seton Hall Prep (NJ)St. John’s (DC)St. Paul’s (MD)Select Your High School (Schools Paying with a Team Check)Fog City (CA)Graduation Year*Has The Player made a College Verbal Commitment?*YesNoPosition* Attack Middie Defense Goalie Long Stick Mid Faceoff Player Phone*Player Email* Player Instagram Handle (optional)Player Twitter Handle (optional)Player Mailing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Parent Email* Parent Phone* HOWARD COUNTY DEPARTMENT OF RECREATION AND PARKS PLAYER WAIVER, RELEASE OF LIABILITY AND INDEMNIFICATION AGREEMENT ROSTER I, the undersigned parent/player, acknowledge, agree and understand that: 1. Voluntarily and of my/my child’s own free will, I elect to participate as a member of the team and league indicated below. 2. I understand that there are certain risks and hazards involved in participating in any sport that may result in injury or death to me or other players, including, but not limited to those hazards associated with weather conditions, playing conditions, equipment and other participants. Further, I, the undersigned parent/player, agree that in consideration for the right to play as a member of the team designated below and in consideration for permission to play on the fields or courts arranged for by the team or league: 1. I voluntarily elect to accept and assume all risks of injury incurred or suffered by my child/me (a) while practicing or playing as a member of the team so designated, (b) while serving in a non-playing capacity as a team member during practice or play by other players on my team, and (c) while on or upon the premises of any and all of the facilities arranged for by my team or league for practice or play. 2. I release, discharge and hold harmless the team and league designated below, the facility owner or other entity designated below, the Howard County Department of Recreation and Parks, Howard County, its officers, agents, associations, employees, or any person or entity connected with the team, league, or facility for any claim, damages, costs or cause of action which I/my child has or may in the future have as a result of injuries or damages sustained or incurred by me from any cause related to my participation as a member of the team. 3. I agree/my child agrees to abide by all rules and regulation of the Howard County Department of Recreation and Parks. 4. I attest that the Howard County Recreation and Parks Concussion Information has been received by players and their parents on this roster, and furthermore if the activity occurs on school facilities, these players and parents have acknowledged receipt of the Department’s concussion information. Managers and game officials should thoroughly inspect their facility before each use for safe conditions. Any unsafe conditions must be reported to the Department immediately.I have read, understand, and agree to the Howard County Liability Waiver.* I agree. 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 High School Lacrosse Showcase (NHSLS), 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 SMH Lacrosse, LLC DBA NHSLS 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 NHSLS. TREATMENT/MEDICAL RELEASE AUTHORIZATION* I agree I/we being the legal guardians of the applicant authorize the staff of the NHSLS and its agents permission to request treatment to ensure the well being of our dependant. I certify that he is in good health and able to participate in the scheduled games. Total $0.00 Refund Policy* Acknowledgement Summer Sessions: $75.00 charge for a conflict refund within 7 days of the beginning of NHSLS. $50.00 charge for a conflict refund outside of seven days from the beginning of NHSLS. $25 charge to refund a double registration. For that reason, PLEASE REVIEW PLAYER INFORMATION BEFORE SUBMITTING. IF you feel you are due a refund for any reason, to avoid additional fees, PLEASE send an email to: jmayhorne@verizon.net Credit Card Billing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Credit Card DiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Expiration Date Security Code Cardholder Name CAPTCHA