January 27th – April 7th 8am – 10am Registration open to coed high school aged kids. 5v5 including goalie. Cost is $500 per team. Payment...
Thank you for signing up to use the Fieldhouse at the La Crosse Wellness Center!
To complete the sign up process please sign the waiver below and complete payment.
The total is $* Don't have a Paypal account? Just enter your credit/debit card details and select guest checkout.
*Price includes a convience fee of 2.9% plus $0.30
I, the Participant/parent/guardian, in registering at the La Crosse Wellness Center and Fieldhouse, understand that in attending the registered program and using the facilities, do so at my own risk. La Crosse Wellness Center and Fieldhouse, and its owners, employees and agents, shall not be liable for any damages whatsoever arising from any personal injury or property loss sustained by the participant and my family in or about any programs on the premises. I acknowledge and am aware of the risks inherent in participating in the registered program (both practice and competitions); that indoor sport programs are physical which can require considerable running, starting, stopping and physical exertion; and could potentially lead to limb injuries; possible permanent disability and death. Participants assume full responsibility for all injuries and damages which may occur in or about any programs on the premises and I do hereby fully and forever release, discharge, and hold harmless the La Crosse Wellness Center and Fieldhouse, all associated facilities and its owners, employees and agents from any and all demands, damages, rights of action, present or future resulting from or arising out of any person’s participation in any programs or use of its facilities. I agree to follow the rules of play and conduct set by the La Crosse Wellness Center and Fieldhouse. I understand that failure to do so may result in suspension from participation. Also, I waive all rights to any photos taken for use in any La Crosse Wellness Center and Fieldhouse publications. *I understand that if my team payment is not paid in full, my team will be forced to forfeit until it is complete and may be dropped from the league. *A PARENT’S SIGNATURE IS NEEDED IF THE INDIVIDUAL PLAYING IS UNDER 18 (Childs name/parents signature)
I agree to the above terms and conditions by signing my name electronically below.