Champion Lacrosse is Michigan’s premiere lacrosse experience.  We offer leagues, camps, clinics.  Learn more about our strong track record and get all of the fall details at www.championlacrosse.com

Fall Leagues
Join the very best lacrosse league is Michigan. This is THE league you’ve heard about.  Don’t delay – each program will fill to capacity.  These are full field games at the Seaholm Stadium.  League players submit a $20 refundable jersey deposit.

*Men’s Rec. League ($115 + $20)
*Varsity Boys Leagues ($145 + $20)
*JV Leagues ($145 + $20)
*Middle School Leagues ($145 + $20)
*Women’s / Varsity Girls ($115 + $20)

Fall Classes
Our instructional programs feature great teachers who instill a love for the game. Classes are on Saturday or Sunday afternoons from 2:00 – 4:00 PM. Registration includes lacrosse stick or a Warrior Jet Pack!   Cost: $150

*Pre K – Kindergarten Class
*1st – 2nd Grade Class
*3rd – 5th Grade Class
*Middle School / High School Class
*Goalie Class (Sat. only)

We keep players together with their friends!

Youth Leagues
Last summer we began building a major summer youth league in Michigan.  Players will be grouped with their friends for weekly games against the other teams.  Our best coaches will be on the fields and the sidelines helping transition young students into lacrosse players.  All youth leagues are Saturday afternoon.

*K – 2nd Grade Boys and Girls (non-equipment)
*3rd – 4th  Boys Full Equipment
*5th – 6th Grade Boys Full Equipment
*3rd – 6th Grade Girls Youth League

The best value is the combination package.  Choose one class and one youth league for $210.

Warrior Lacrosse Jet Pack
Based on your input, we’ve added a great component to our registration for students who already have one (or many) lacrosse sticks.  When you register, you can select to receive a Jet Pack (custom lacrosse back pack) instead of a stick.  Visit our website for complete details – including pictures.

Additional Information and online registration is available on our website www.championlacrosse.com  you can also call (258) 255-1287 or email ashley@championlacrosse.com

Champion Lacrosse    Fall Registration Form

Complete this entire form.  Please print clearly.

Student Name_____________________________________ Student Email _____________________________________

Parent Email 1 ______________________________      Parent Email 2 ______________________________________

Address ____________________________________    City _____________________________  Zip________  

Phone (_____) ______________  Birth Date _____/_____/_____  

Year of High School Graduation _________    Grade ________
(Grade in fall ’04: 12=2005. 11=2006, 10=2007, 9=2008, 8=2009, 7=2010, 6=2011, 5=2012, 4=2013, 3=2014, 2=2015, 1=2016, K=2017)

School ________________________________________  Position ______________________________

Please select a program.  If you are enrolling in Class and League Package, please select one of each.

Instructional Program:	Classes										
___Saturday Pre K - K Lacrosse Class    			___Sunday Pre K - K Lacrosse Class
___Saturday  1st – 2nd Grade Lacrosse Class			___Sunday 1st – 2nd Grade Lacrosse Class
___Saturday 3rd – 5th Grade Lacrosse Class  		___Sunday 3rd – 5th Grade Lacrosse Class  
___Saturday Middle School / High School Lacrosse Class	___Sunday Middle School / High School Lacrosse Class
___Saturday (only) goalie class.

Youth Leagues	(Saturdays)						
___Girls Youth League (grades 3 – 6 – girls lacrosse rules).
___Grades K-2 Non-Equipment League (Boys and Girls)
___Grades 3rd-4th Boys Full Equipment League  
___Grades 5th-6th Boys Full Equipment League

Package Deals	(Don’t forget to choose one of eacg category in the package on this form)
___Class and Youth League Package Plus a stick or Jet Pack  - Instructional Program only $210
___Class and Middle School / High School League Plus a stick or Jet Pack  for $215 

High School, Middle School, Adult Leagues						
___Middle School Boys League  $145
___Middle School Girls League $145
___JV Boys League $145
___JV Girls League $145
___Varsity Boys League $145
___Women & Upper Varsity Girls League $115
___Men’s Rec. $115

Payment:  Please make checks payable to “Champion Lacrosse.”
		Lacrosse Class  (and a stick/jet pack)………	$150
		Youth League (and a stick/jet pack)	………	$150
		Class and Youth League Package 
(and a stick/jet pack)………………	$210
		Class and MS/HS League Package 
(and a stick/jet pack)……………….	$215

High School, Middle School and Adult Leagues
		Varies – see above………………………… $115 or $145
		Jersey Deposit……………………………...  $  20 *required for all middle school, high school and adult leagues.

Please check our web site for updates: www.championlacrosse.com    We will communicate via email, so please make certain that the email address you have provided is accurate.  Please call us with your questions at (248) 255-1287.  You can also link to our online registration at championlacrosse.com

Your completed form and check payable to "Champion Lacrosse" are accepted on a first-come, first-served basis.   Mail this form to Champion Lacrosse 30800 Telegraph, Suite 3833.  Bingham Farms, MI 48025.

CHAMPION LACROSSE ENROLLMENT AGREEMENT & RELEASE

The Participant desires to participate in a program of Premier Sports Group, Inc., doing business as Champion Lacrosse (“Champion”).  This form is an important legal document.  It is critical that you read and understand it completely.  After you have done so, please print your name legibly and sign below.  In this document, the term “Participant” includes both the on-the-field Participant and the parent or legal guardian, if Participant is under 18 years of age.

Participation in the sport of lacrosse may result in injury or death to Participants.  Participant desires to participate in the sport of lacrosse despite these risks.  Participation in the Champion program is expressly conditioned upon the following agreement by the Participant:

1.	Participant assumes all risks of injury or death sustained while participating in the sport of lacrosse or while on or about the premises, and waives all liability against Champion, the Birmingham Public Schools, their officers, employees and all affiliated entities.

2.	Participant releases, discharges, indemnifies and holds harmless Champion, the Birmingham Public Schools, their officers, employees, agents, officials and all related entities from any and all claims, demands or causes of action that are in any way connected with participation in the sport of lacrosse or use of the premises, facilities or equipment, and including any negligence on the part of Champion, the Birmingham Public Schools, their officers, employees, agents, officials and all affiliated entities.

3.	Champion is not responsible for Participant’s fitness, abilities or equipment.

4.	Participant represents and acknowledges that Participant has adequate insurance and agree to assume full responsibility for any and all costs or expenses occasioned by an injury or medical need arising out of participation in the sport of lacrosse or use of the premises, facilities or equipment.

5.	Participant acknowledges that during the course of their activities, Champion may take Participant’s photograph or video.  Each Participant hereby grants Champion permission to use any such photograph or video for use in materials promoting Champion.  Such use may include publication in program, general advertising, posters, flyers, television and any other vehicles that may be distributed or shown to or otherwise seen by large numbers of individuals and potential patrons of Premier Sports Group or Champion Lacrosse. Participant waives all rights to any financial remuneration of any kind.

I have read and I understand this Agreement.  I warrant that I have the right and the authority to execute this Agreement on behalf of myself and the Participant (if under the age of 18). I assume full responsibility for the terms and conditions of this Enrollment Agreement & Release, and will indemnify and hold harmless Champion for any claims brought by or on behalf of Participants to this Agreement.
								_________________________
								Name of Participant

														
Date								Signature of Participant's Parent
 or Guardian