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Central Dauphin East Jr Lacrosse

Waiver & Forms

Please complete the forms below before each season/camp (Spring Season, Summer Camp, Fall Try Lax):

Player Liability Waiver

I understand that by registering I have accepted and agreed to the waiver and release agreement(s) presented to me during the registration and that these documents include a release of liability and waiver of legal rights and deprive me of the right to sue certain parties.  By agreeing electronically, I have acknowledged that I have both read and understood any waiver and release agreement(s) presented to me as part of the the registration process and accept the inherent dangers and risks which may or may not be readily foreseeable, including without limitation personal injury, property damage or death that arise from participation in the event. 


Waiver of Liability: In consideration of participating in the Central Dauphin East Jr. Lacrosse Program, the player named above and the parent or guardian do hereby agree ourselves, our heirs, executors and administrators, to release, hold harmless and forever discharge Central Dauphin East Jr. Lacrosse program, all school districts, townships, public or private enterprises whose fields or facilities we may use, 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 with the player's participation in the Central Dauphin East Jr. Lacrosse program.  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. 
Treatment/Medical Release Authorization: I/we being being the legal guardians of the applicant authorize the staff of the Central Dauphin East Jr. Lacrosse program and its agent's permission to request treatment to ensure the well being of our dependent.  I certify that he is in good health and able to participate in the scheduled games and practices.  I have included an explanation of any physical limitations and/or required medical attention that is necessary for my dependent.


Covid 19/Pandemic Waiver: Participation includes possible exposure to and illness from infectious diseases including but not limited to influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness does exist.

Photo Release Form

CD East Jr. Lacrosse will from time to time take photographs and video of games, practices, and other associate club events. Please utilize this form to indicate if you give our club permission to use your child’s image as part of the club’s social media, web, and print promotitional activity. If you select “decline,” your child’s image will not be used. This form must be completed by the child(ren)’s parent/guardian ever season. 

Please enter your child(ren)'s name(s). If entering more than one name, please use a comma (,) to separate the names in the text field.
Please indicate if CD East Jr Lacrosse is allowed to use photographs or videos of your child(ren)'s for the club's promotional work on the internet, social media, flyers, or other mediums.
By typing your name, you certify that the information provided is correct.

If you have any questions or wish to speak with a club representative about this form, please conact us at cdeastjrlacrosse@gmail.com

Volunteer Form

CD East Jr Lacrosse relies on family volunteers to help run a successful youth lacrosse program. If you are interested in volunteering, please indicate which areas you are willing to help out in:

Please enter the name or names of those interested in volunteering:
Volunteer Opportunities

We look forward to working with you on a successfuly lacrosse season.

Zoning Form

Please indicate which district/high school your home address is currently zoned to. Pleaes contact the club at cdeastjrlacrosse@gmail.com if you have any questions. 

By typing your name, you certify that the information provided is correct.

Equipment Rental Request Form

Equipment Requested

Equipment rental fees will be collected via check or Venmo when the player receives their equipment.

Central Dauphin East Jr Lacrosse logo

About US

Our goal is to grow the sport!  With that in mind...

  • First-year players are free
  • Loaner equipment is free for first-year players 
  • Returning players can rent equipment for a low cost:
    • ‚Äč$75 helmet rental fee – refunded at time of return
    • $100 stick and protective gear rental fee – $50 refunded at time of return

Experience lacrosse risk-free!

 

WHO WE ARE

Central Dauphin East Jr Lacrosse (CDEJL) is a youth recreational lacrosse club for the Central Dauphin East school district.  We are the feeder system for Central Dauphin East High School and surrounding areasGo Panthers!

We are part of the Mid-Penn Youth Lacrosse Association (MPYLA), which is composed of the following teams:

Bellefonte, Carlisle, Central Dauphin East, Central Dauphin Rams, Central Susquehanna, Chambersburg, Cumberland Valley, Danville, Hershey, Lower Dauphin, Mechanicsburg, Palmyra, State College, & West Shore

 

Our club has 4 different teams based on age:

  • 8U
    • 6 - 8 year olds
    • K - 2nd grade
  • 10U: 
    • 9 - 10 year olds
    • 3rd grade - 4th grade
  • 12U: 
    • 11 - 12 year olds
    • 5th grade - 6th grade
  • 14U: 
    • 13 - 14 year olds
    • 7th grade - 8th grade

For more information on which age group your lacrosse player falls into, visit USA Lacrosse’s Age Reference Table.