Holy City Lacrosse “Chumash” League Information
When: October 1st through November 2nd
Tuesdays- U9, U11, Girls (12-18)
Wednesdays-(If necessary)
Thursdays-U15, U18, Elite (18+)
Final day & Championships- November 2nd Saturday
Time: Based on division see Schedule below.
Where: Lowcountry Sports Plex (formerly Charleston Soccer Dome)
130 Elliana Way, Summerville, SC 29483
Price: $85 per player- (Late registration After September 20th $90) (Players responsible for their own equipment—see Equipment section below) Holy City Lacrosse Reversible Jersey Included (Color based on division)
Registration: (Late registration is after September 20th)
Players can register 2 ways:
1)Turning in a completed registration form directly to Lowcountry Sports Plex with their cash or check (made payable to Charleston Soccer Dome)
2) Register online at ONLINE IS EASIEST)
Description:
Chumash is a fun, fast paced, and educational way to learn the sport of lacrosse and improve upon current skills. The game is played 3 vs 3 with no goalie and teams (ranging from 3-5 players) must work together to score on the 6’ x 1’ goal. Beginning of each session will be used to teach specific skills such as setting picks, shooting on the run, and specific dodging skills. The rest of the allotted time will be used to play “Chumash” with 2 (10-12 minute) halves and a 3 minute half time. This is a great way for beginners to learn the sport of lacrosse and also great for experienced players to improve their skills during the off season.
Equipment:
It is encouraged for players to have their own equipment.
Girls- Stick, Eye Mask, and Mouth piece
Boys- Stick, Helmet, Elbow Guards, Shoulder Pads, Gloves, Mouth Piece
If a player does not have equipment there will be equipment to borrow but it is on a first come first serve basis. It must be returned immediately after their session is complete. Players may NOT leave the Plex with any “club” equipment.
If you are interested in purchasing equipment please let us know. Thanks to Lowcountry Lacrosse ( we are able to purchase equipment packages for around $150-$225, which is a great price. If you would like to purchase equipment before the start of the league please order by September 20th. Order form attached.
Schedule:
(Times are tentative and can/will be rearranged based on participation/need. A FINAL schedule and times will be giving out prior to or the first week of league)
Tuesdays:
Girls (Queens)=5:30pm-6:20pm
U9 (Pages)= 6:30pm-7:30pm
U11(Squires)= 6:30pm- 7:50pm
Thursdays:
U15(Knights)= 6:00pm-7:00pm
U18(Kings)= 6:00pm-7:20pm
Elite(Monarchs)=7:30pm-8:30pm
Contact info:
Director: Peter Collins Jr.- 843 709 3424
Assistant Director: James Collins- 843 901 4231
Holy City Lacrosse “Chumash” League
2013 Registration
Name: School: Grade:
Address: City:Zip:
E-mail addresses:______Home Phone:
Cell Phone #s:______Participant’s Birth date: ______Age______
Have you ever played Lacrosse before? No Yes - If, Yes
Where: When:
Position:
Cost: $85 for all players. Each player will receive a reversible jersey.
(Make checks payable to Charleston Soccer Dome) If purchasing equipment must be a separate check payable to Lowcountry Lacrosse.
Shirt size YM____YL___ Adult S___ Adult M___ Adult L___ Adult XL___ AdultXXL___
League you will be playing in (for example “U-15”): ______
PLEASE LIST BELOW ANY SPECIAL MEDICAL CONDITIONS THAT THE ATHLETE MAY HAVE AND/OR ANY MEDICATIONS TAKEN REGULARLY BY THE ATHLETE:
(in case of emergency)Phone #:
Insurance Company:
Policy #:
Policy Holder:
EMERGENCY MEDICAL TREATMENT PERMISSION
I hereby authorize Holy City Lacrosse to obtain, through a physician/hospital of its choice, any emergency care that may become necessary for the athlete in the course of athletic activities or travel. I guarantee payment for all medical services incurred by either the insurance company listed above or myself.
Parent/Guardian Signature: Date:
Family Physician:Physician’s phone #:
Hospital of Choice:
Holy City Lacrosse Release Form
Participant Agreement, Release and Acknowledgement of Risk
In consideration of being allowed to participate in any way in the Holy City Lacrosse and any related events and activities, I hereby agree to release and discharge the Holy City Lacrosse, Charleston Lacrosse Club and The Charleston Soccer Dome including their agents, owners, officers, volunteers, participants, sponsors, sponsoring agencies, employees owners and lessors of premises used to conduct events, and all other persons or entities acting in any capacity on the behalf of the Holy City Lacrosse and Charleston Youth Lacrosse Club (hereinafter collectively referred to as the “Club”) on behalf of myself, my children, my parents, my heirs, assigns, personal representative and estate as follows:
1.I acknowledge that participating in a lacrosse event or activity entails known and unanticipated risks, which could result in physical or emotional injury, paralysis, death, or damage to myself, to property or to third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity. Furthermore, the Club seeks to present a safe activity, but they are not infallible. The Club might be ignorant of a participant’s fitness or abilities. The Club might misjudge the weather, the elements, or the terrain. The Club may give inadequate warnings or instructions, and the equipment being used might malfunction.
2.I expressly agree and promise to accept and assume all of the risks existing in this activity. My participation in this activity is purely voluntary, and I elect to participate in spite of the risks.
3.I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless the Club from any and all claims, demands, or causes of action, which are in any way connected with my participation in this activity or my use of Club equipment or facilities, including any such Claims which allege negligent acts or omissions of the Club.
4.Should the Club or anyone acting on their behalf, be required to incur attorney’s fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs.
5.I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear the costs of such injury or damage myself. I further certify that I have no medical or physical conditions which could interfere with my safety in this activity, or else I am willing to assume – and bear the costs of – all risks that may be created, directly or indirectly, by any such condition.
6.In the event that I file a lawsuit against the Club or anyone associated with the Club, I agree to do so solely in the state of South Carolina, and I further agree that the substantive law of the state shall apply in that action without regard to the conflict of law rules of that state.
7.If I borrow or use any equipment owned by the Club, I will promptly return all equipment to the Club. I agree to promptly pay for all costs associated with the repair replacement of equipment that I damage.
By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against the Club on the basis of any claim from which I have released them herein.
I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.
Signature of Participant* ______Print Name: ______
*Must be at least 18 years or older to sign
Signature of Parent if participant is under 18 ______
Date: ______
Address:______Home Phone Number: ______
______Work Phone Number: ______
Lacrosse Equipment Order Form:
*Equipment orders must be on their own check payable to Lowcountry Lacrosse*
If equipment package is wanted before start of league please turn in by September 20thto either Peter Collins/James Collins or Lowcountry Sports Plex.
Player Name:______
Phone Number (In case there is a question please make sure it is a number that you are most accessible at) ______
Package Ordering: (Check package to be ordered)
Package 1 is for U11 and younger
Package 2 is for U15 and up. We will get exact sizes on first day.
Package 1:______
$150- Brine / Warrior Starter Pack
Package Includes:
GLOVES
ARM PADS
SHOULDER PADS
Stick
Helmet
Package 2:______
$225- Low Lax Special
Package Includes:
Gloves
Arms Pads
Shoulder Pads
Stick
Helmet