Tournament Waiver and Release

Achieve Lacrosse subscribes to USA Lacrosse for general liability and accident insurance through RPS Bollinger (on the condition that the event operator, all players and head coaches are active USA Lacrosse Members.) Through Bollinger Insurance, USA Lacrosse provides exclusive on-the-field coverage for all USA Lacrosse members participating in Achieve Lacrosse tournaments.

All players attending the Achieve Lacrosse Tournaments must complete the below online waiver and tournament release. All participants must be active USA Lacrosse members in order to receive supplemental insurance coverage if needed. In order to complete the online form below, all participants MUST provide a current USA Lacrosse Membership Number and expiration date.

Are you a USA Lacrosse Member, but need to find your membership number? CLICK HERE to look up your US Lacrosse number and expiration date.
If you are NOT a USA Lacrosse member and need to obtain coverage or need to renew your membership, please CLICK HERE.

Xtremelax Player Waiver 2022

Participant Information
Player Name*
First Last
Uniform Number*
Year of Graduation*
Club Team*
Team Name / YOG*
Player Waiver
All Xtremelax tournament participants must complete the section below.
Emergency Contact Name
First Last
Emergency Contact Phone Number
Player Birth Date:
Health Concerns
US Lacrosse Number*
US Lacrosse Expiration Date*
Consent to Play and Liability Release
Consent to Play:*
I acknowledge that lacrosse is a high-speed sport which may involve some contact. I am aware of no medical conditions, illnesses or injuries that would prevent my child from participating in all aspects of this team membership, except as follows (Please state the medical condition and provide a letter from the child’s health care provider indicating the limitations or restrictions for the child’s participation):
Liability Release*
I hereby give permission to provide emergency medical assistance to my child in case of accident or injury. I agree to indemnify and hold harmless Achieve Lacrosse, Mass Elite Lacrosse, any individual working as an officer, coach, employee, agent or volunteer or in any capacity for this organization, for any and all injuries, damages, causes of actions or claims for personal injuries or property damage, arising from my child's participation in this program, or any leagues, teams or tournaments associated with Achieve Lacrosse and or Mass Elite Lacrosse.
Parent/Guardian First Name Parent/Guardian Last Name Date
Parent/Guardian Email Address*

Please enter a valid email address for confirmation of waiver submission.
Player Registration for High School
Players in YOG 2023, 2024, and 2025: Please complete this section if you wish to be included in the college coach recruiting packet powered by Event Beacon. By completing this section of the registration, you understand that you are authorizing Achieve Laccrosse/Mass Elite to share your information with prospective college coaches.
Position
High School
Email
Are you verbally committed?
College Commitment

Xtremelax Player Waiver 2022

Participant Information

Player Waiver

Consent to Play and Liability Release

Player Registration for High School