Lacrosse 2013HARVEY CUP

TOURNAMENT3rd Annual Harvey Cup Tournament 2013

3/4*, 5/6 and 7/8 Grade DivisionsOpen to all BYLW teams!!

June 8th & 9th at Harvey AirfieldHosted by Snohomish Lacrosse Club

Round Robin Format w/ Guarantee 3 Games per TeamTop teams from each pool for each division will advanceto playoff bracket to crown the Harvey Cup Champions!

*3/4 teams contact Dan O’Hern prior to registration

• Full games ~ 20 Minute Halves for all games• Certified Officials for all games• Central Clock for Pool play• Game Clocks at each field for Playoffs and Championship

games• Free Raffle Entry for all Players who bring food donations!!• Event T-Shirts for Sale by Fine Designs• Food vendors on site w/ Espressos, ice cream, and for

lunch we will have a gourmet catering truck!• $400 entry fee for all Divisions paid in full by 4/1/13• $450 entry fee for all Divisions paid in full after 4/1/13

Teams are provided in this tournament on first come first served basisFor Questions, e-mail Dan O’Hern at stlheaddan@msn.com

Full Payment, Registration Form and Roster Form Due by June 3rd*Snohomish Lacrosse will be asking all players to bring a non perishable food donation of at least 2 items. We think it is important to give back to our community and important for our youth to

learn this philosophy. All players who donate to the Food Drive will receive 1 free raffle ticket for our drawings!

Thank You Sponsors:Harvey Airfield

THIS FORM, ROSTER & PAYMENTDUE NO LATER THAN JUNE 1, 2013

3rd Annual Harvey Cup Tournament 20135/6th and 7/8th Grade DivisionsWhen: June 11th & 12th, 2011 (Game Schedules posted ASAP)Where: Harvey Airfield 10530 Airport Way – Snohomish, WA 98290What: Round Robin Format ~ 40 Minute Games ~ Minimum 3 games per team plus Playoffs!Cost: $350 if payment received in full by 5/28 $400 if paid in full after 5/28Club: ____________________________ Head Coach Name: _________________________Team Name: _____________________ Division: 5/6th 7/8thNumber of Players on Roster: _________Contact Phone Number: ______________ e-mail Address: ____________________________Through Signing this Registration Form:1. The team coaches and managers, on behalf of their team, players and parents, release Snohomish Lacrosse, Kandace Harvey and all affiliates from any liability for any injury or accident that may occur while participating in the Harvey Cup June 11th & 12th, 20112. The team, parents, coaches and managers agree to abide by the rules and regulations as set in accordance by WSLA and for this Tournament plus to conduct themselves in a sportsmanlike manner at all times.Signature of Coach/Team Representative: __________________________ Date: ____________Send these forms with full payment to:Dan O’Hern4007 115th Ave SESnohomish 98290(Checks payable to: Snohomish Boys Youth Booster)Please complete one (1) form per team, Roster must be includedAll players must complete a waiver of liability. Coaches turn them in before their first game!Waiver form must be in possession of the Tournament Headquarters before a player can play!

Division: 5/6th 7/8thRosters must be turned in by June 3rd, 2011 on this form.Team Name:Coach/es Name/sPlayer first namePlayer last nameUS Lacrosse number (Required)

Where Youth Make A Difference!June 11th & 12th at Harvey FieldEvery player that donates 2 non perishable food itemsto the Harvey Cup Food Drive will receive 1 raffle ticketto win FREE premier giveaways donated by Snohomish Lacrosse(Raffle tickets are also available for purchase) Lacrosse Equipment Event shirts Free drinks and food from concessions Fun gift baskets Gift cards Other goodies!Most needed itemsCanned Fruit(Peaches, Pears, Mixed)Canned Vegetables(Peas, Green Beans, Corn)CerealsThank you on behalf of theThe Snohomish Community Food Bank 1330 Ferguson Park Road Snohomish, WA 98290 (360) 568-7993

HARVEY CUP LACROSSE TOURNAMENTJune 11 & 12, 2011WAIVER OF LIABILITYIn consideration of participating in the Harvey Cup Lacrosse Tournament, the player named below and the parent or guardian do hereby agree for ourselves, our heirs, executors and administrators, to release, hold harmless and forever discharge Snohomish Lacrosse, Kandace Harvey, Harvey Airfield, The Harvey Cup Tournament, 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 arising directly or indirectly in connection with the player’s participation in the Harvey Cup Lacrosse Tournament. By signing below, I acknowledge that I have read and understand this form and further understand the terms herein are contractual and not a mere recital.Player’s Name ________________________________US Lacrosse #:_____________Team ______________________________________________________________Signature of Parent/Guardian ____________________________Date__________MEDICAL RELEASE AUTHORIZATIONI/we being the legal guardians of the applicant authorize the staff of the Harvey Cup and Snohomish Lacrosse and their agents’ permission to request treatment as necessary to ensure the well-being of our dependent. I certify that he is in good health and able to participate in the scheduled games. I am attaching a note explaining any special physical limitations and/or required medical attention that is necessary for my sonSignature of Parent/Guardian _________________________ Date______________Health Insurance Company _____________________________Health Insurance Policy Number ________________________