Gold Rush Registration 1Return Players2General Info3Lacrosse Info4Release5Late Fee Are you a returning player?* Yes No Player Name*Select a PlayerLawrence BenallyTommy AtellaLogan HoweParker HahneAryan KrausePaxton McConnellTyler CunningtonBrandon MalatyEzra TerryTaylor PecqueurCullen NordemanMatthew LutzAlex TuelRyan DietziusConnor ChaseAndrew BarreraMark GarrettThomas MuldoonAndreas RigginsJose MalagonDoug RayboldMatthew SemmensJareth MoreyCarson RinerTristan KrrebBrett FowlerRyan HillTrevor PerkeyDavid SmolevAustin KonnathJames KultalaEthan FoxNick BrownStephen SchoonoverPatrick RegoZachary HarwoodRyan AlleyTroy BrownAdin PruettConnor ColussiChristopher HeeseHector VelozDerek NedlandParker HahneLanden OldenburgBrady ApplegarthMack BakerCade DickJoseph BertrandDennis RegoElijah DupreezKenneth ScerboLogan BuckleyHank OntiverosMike PorachJonathan LeeTyson Marsh Player Name*First & Last: (Example: John Hancock)Email Address* Phone #*Date of Birth* MM slash DD slash YYYY Add Profile Picture?* Yes No Profile PicAccepted file types: jpg, png, Max. file size: 4 MB. Positions* Faceoff Specialist Forward Defense Transition Goalie Shoots* Left Right What is your dominant hand?Jersey Number*T-Shirt Size*SmallMediumLargeX-LargeXX-LargeXXX-LargeNationality*United StatesCanadaMexicoAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsPlayer Bio*Player awards and top levels of lacrosse played. Age*Please enter a number greater than or equal to 19.Height*Weight* Player Agreement - (Release and Covenant Not to Sue)* I CERTIFY THAT I AM 18 YEARS OF AGE OR OLDER AND THAT I HAVE READ, FULLY UNDERSTAND, AND VOLUNTARILY AGREE TO THE TERMS OF THIS AGREEMENT WITH FULL KNOWLEDGE OF ITS SIGNIFICANCE.I know that participation in the Box Lacrosse League (BLL) is a potentially hazardous activity and I agree that my participation is entirely voluntary. I know I should not enter this activity unless I am medically able to participate, and the signature below attests that I am medically fit to participate. I know that the hazards of the game’s activities include but are not limited to: rigorous exercise and exertion, falling, collision with other participants, collision with fixed objects, and being struck by game objects (i.e. balls, sticks, etc.). I further state that I know that injuries can range from minor to serious, including loss of sight, paralysis, and death. That in consideration of my participation in the BLL activities, games, tournaments, and any other associated events, I agree, on behalf of myself, my assigns, my personal representative, beneficiaries, executors, and heirs, to waive, release and hold harmless the Box Lacrosse League and its managers, officers, staff, officials, agents, and any owner or operator of any facilities operated, leased, or used by BLL and/or any individual or entity for whom BLL may be held vicariously liable (the “BLL Released Parties”) of and from any and all liability, damage, cost, or claim of any nature whatsoever arising out of or related to my participation, including but not limited to those arising from the BLL Released Parties’ own acts, omissions, negligence or fault. That in consideration of my participation in the BLL activities, games, tournaments, and any other associated events, I agree, on behalf of myself, my assigns, my personal representative, beneficiaries, executors, and heirs, to waive, release and hold harmless all Box Lacrosse League franchises, their respective officers, managers, agents, staff, players, coaches, and any owner or operator of any facilities operated, leased, or used by any BLL team and/or any individual or entity for whom BLL may be held vicariously liable (the “BLL Franchise Released Parties”) of and from any and all liability, damage, cost, or claim of any nature whatsoever arising out of or related to my participation, including but not limited to those arising from the BLL Franchise Released Parties’ own acts, omissions, negligence or fault. I understand that the Box Lacrosse League will provide secondary personal accident insurance coverage, but will not provide primary health insurance. I understand that I am required to hold my own personal primary health insurance coverage throughout my participation in Box Lacrosse League and BLL sanctioned events. I irrevocably grant the BLL and the BLL’s assignees, licensees, and successors the right to use my name, image, and likeness in all forms and media including composite or modified representations for all purposes, including advertising, trade, or any commercial purpose throughout the world and in perpetuity. I waive the right to inspect or approve versions of my image used for publication or the written copy that may be used in connection with the images. I release the BLL and the BLL’s assignees, licensees, and successors from any claims that may arise regarding the use of my image and likeness, including any claims of defamation, invasion of privacy, or infringement of moral rights, rights of publicity, or copyright. The BLL is permitted, although not obligated, to include my name as a credit in connection with the image. With my participation, I agree to follow all BLL Regulations and Policies including but not limited to sexual abuse, sexual harassment, drugs and alcohol, social media & conduct, and concussion protocol. I understand that I am required to abide by these policies and may be subject to fines and discipline up to and including league expulsion for violations. This agreement and the scope of the release, waiver, and covenant not to sue herein shall be governed by the laws of the State of Missouri, without respect to its conflict of laws principles. Any claim or dispute between the undersigned Participant, and BLL Released Parties and/or the BLL Franchise Released Parties that arises in whole or in part from the BLL events and/or activities shall be decided exclusively by a court of competent jurisdiction located in Kansas City, Jackson County, Missouri. Late Registration Fee* Price: Credit Card* Total $0.00 CAPTCHA