2022 Lax Daddy's Summer Tournament Team Registration
Congratulations and thank you for playing with Mid South Lacrosse tournament teams. Each team can have a 20 player roster. Players will wear their regular season helmets and we will wear team jerseys and shorts. The cost will be $300 and will cover the tournament fee and player reversible/shorts. Please email any questions to firstname.lastname@example.org
US Lacrosse Instructions
All participants must be members of US Lacrosse. You can register online at www.uslacrosse.org . Players will not be eligible to play unless they have a current US Lacrosse membership numbe
Waivers & Releases
I am fully aware of and appreciate the risks, including the risk of catastrophic injury, paralysis and even death, as well as other damages and losses, my heirs, and personal representatives, that Mid South Indoor Lacrosse, US Lacrosse, Germantown Parks and Recreation Department, City of Germantown and sponsors of any Mid South Lacrosse recognized or sanctioned event, along with coaches, officials, referees, umpires, volunteers, employees, agents, officers and directors of these organizations, shall not be liable for any injury, loss of life or other loss or damage occurring as a result of my participation in the event.
I hereby give my consent to Mid South Lacrosse and the host organization of any Mid South Lacrosse recognized or sanctioned event to provide, through a medical staff of its choice, customary medical/athletic training attention, transportation and emergency medical services as warranted in the course of my participation in Mid South Indoor Lacrosse recognized or sanctioned events.
I hereby give my consent to Mid South Indoor Lacrosse to post photos of my child taken during Mid South Lacrosse activities on the Mid South Lacrosse websites. I understand that photos will not have any identifying information of any child.
INFORMATION AND SIGNATURE FORM
FOR STUDENT-ATHLETES & PARENTS/LEGAL GUARDIANS
(Adapted from CDC “Heads Up Concussion in Youth Sports”)
Public Chapter 148, effective January 1, 2014, requires that school and community organizations sponsoring youth athletic activities establish guidelines to inform and educate coaches, youth athletes and other adults involved in youth athletics about the nature, risk and symptoms of concussion/head injury.
Read and keep this page.
Sign and return the signature page.
A concussion is a type of traumatic brain injury that changes the way the brain normally works. A concussion is caused by a bump, blow or jolt to the head or body that causes the head and brain to move rapidly back and forth. Even a “ding,” “getting your bell rung” or what seems to be a mild bump or blow to the head can be serious.
Did You Know?
• Most concussions occur without loss of consciousness.
• Athletes who have, at any point in their lives, had a concussion have an increased risk for another concussion.
• Young children and teens are more likely to get a concussion and take longer to recover than adults.
WHAT ARE THE SIGNS AND SYMPTOMS OF CONCUSSION?
Signs and symptoms of concussion can show up right after the injury or may not appear or be noticed until days or weeks after the injury.
If an athlete reports one or more symptoms of concussion listed below after a bump, blow or jolt to the head or body, s/he should be kept out of play the day of the injury and until a health care provider* says s/he is symptom-free and it’s OK to return to play.
SIGNS OBSERVED BY COACHING STAFF
SYMPTOMS REPORTED BY ATHLETES
Appears dazed or stunned
Headache or “pressure” in head
Is confused about assignment or position
Nausea or vomiting
Forgets an instruction
Balance problems or dizziness
Is unsure of game, score or opponent
Double or blurry vision
Sensitivity to light
Answers questions slowly
Sensitivity to noise
Loses consciousness, even briefly
Feeling sluggish, hazy, foggy or groggy
Shows mood, behavior or personality changes
Concentration or memory problems
Can’t recall events prior to hit or fall
Can’t recall events after hit or fall
Just not “feeling right” or “feeling down”
Health care provider means a Tennessee licensed medical doctor, osteopathic physician or a clinical neuropsychologist with concussion training
CONCUSSION DANGER SIGNS
In rare cases, a dangerous blood clot may form on the brain in a person with a concussion and crowd the brain against the skull. An athlete should receive immediate medical attention after a bump, blow or jolt to the head or body if s/he exhibits any of the following danger signs:
• One pupil larger than the other
• Is drowsy or cannot be awakened
• A headache that not only does not diminish, but gets worse
• Weakness, numbness or decreased coordination
• Repeated vomiting or nausea
• Slurred speech
• Convulsions or seizures
• Cannot recognize people or places
• Becomes increasingly confused, restless or agitated
• Has unusual behavior
• Loses consciousness (even a brief loss of consciousness should be taken seriously)
WHY SHOULD AN ATHLETE REPORT HIS OR HER SYMPTOMS?
If an athlete has a concussion, his/her brain needs time to heal. While an athlete’s brain is still healing, s/he is much more likely to have another concussion. Repeat concussions can increase the time it takes to recover. In rare cases, repeat concussions in young athletes can result in brain swelling or permanent damage to their brains. They can even be fatal.
Concussions affect people differently.
While most athletes with a concussion
recover quickly and fully, some will
have symptoms that last for days, or
even weeks. A more serious
concussion can last for months or
WHAT SHOULD YOU DO IF YOU THINK YOUR ATHLETE HAS A CONCUSSION?
If you suspect that an athlete has a concussion, remove the athlete from play and seek medical attention. Do not try to judge the severity of the injury yourself. Keep the athlete out of play the day of the injury and until a health care provider says s/he is symptom-free and it’s OK to return to play.
Rest is key to helping an athlete recover from a concussion. Exercising or activities that involve a lot of concentration such as studying, working on the computer or playing video games may cause concussion symptoms to reappear or get worse. After a concussion, returning to sports and school is a gradual process that should be carefully managed and monitored by a health care professional.
* Health care provider means a Tennessee licensed medical doctor, osteopathic physician or a clinical neuropsychologist with concussion training.
Student-athlete & Parent/Legal Guardian Concussion Statement
Must be signed and returned to school or community youth athletic activity prior to participation in practice or play.
Student-Athlete Name: _________________________________________________________
Parent/Legal Guardian Name(s): _________________________________________________
After reading the information sheet, I am aware of the following information:
Parent/Legal Guardian initials
A concussion is a brain injury which should be reported to my parents, my coach(es) or a medical professional if one is available.
A concussion cannot be “seen.” Some symptoms might be present right away. Other symptoms can show up hours or days after an injury.
I will tell my parents, my coach and/or a medical professional about my injuries and illnesses.
I will not return to play in a game or practice if a hit to my head or body causes any concussion-related symptoms.
I will/my child will need written permission from a health care provider* to return to play or practice after a concussion.
Most concussions take days or weeks to get better. A more serious concussion can last for months or longer.
After a bump, blow or jolt to the head or body an athlete should receive immediate medical attention if there are any danger signs such as loss of consciousness, repeated vomiting or a headache that gets worse.
After a concussion, the brain needs time to heal. I understand that I am/my child is much more likely to have another concussion or more serious brain injury if return to play or practice occurs before the concussion symptoms go away.
Sometimes repeat concussion can cause serious and long-lasting problems and even death.
I have read the concussion symptoms on the Concussion Information Sheet.
* Health care provider means a Tennessee licensed medical doctor, osteopathic physician or a clinical
Code of Conduct
Players, coaches, officials, parents and spectators are to conduct themselves in a manner that “Honors the Game” and demonstrates respect to other players, coaches, officials, parents, spectators and fans. In becoming a member of the lacrosse community an individual assumes certain obligations and responsibilities to the game of lacrosse and its participants. The essential elements in this “Code of Conduct” are HONESTY and INTEGRITY. Those who conduct themselves in a manner that reflects these elements will bring credit to the sport of lacrosse, themselves, their team and their organization.
It is only through such conduct that our sport can continue to earn and maintain a positive image and make its full contribution to amateur sports in the United States and around the world. US Lacrosse supports the following behaviors for those who participate in the sport or are involved in any way with US Lacrosse. The following essential elements of the “Code of Conduct” must be followed:
Sportsmanship and teaching the concepts of fair play are essential to the game and must be taught at all levels and developed both at home and on the field during practices and games.
The value of good sportsmanship, the concepts of fair play, and the skills of the game should always be placed above wining.
The safety and welfare of the players are of primary importance.
Coaches must always be aware of the tremendous influence they have on their players. They are to strive to be positive role models in dealing with young people, as well as adults.
Coaches should always demonstrate positive behaviors and reinforce them to players, parents, officials and spectators alike. Players should be specifically encouraged and positively reinforced by coaches to demonstrate respect for teammates, opponents, officials and spectators.
Players should always demonstrate positive behavior and respect toward teammates, opponents, coaches, officials, parents and spectators.
Coaches, players, parents and spectators are expected to demonstrate the utmost respect for officials and reinforce that respect to players/teammates. Coaches are also expected to educate their players as to the important role of lacrosse officials and reinforce the ideal of respect for the official to players/teammates.
Grievances or misunderstandings between coaches, officials or any other parties involved with the sport should be communicated through the proper channels and procedures, never on or about the field of play in view of spectators or participants.
Officials are professionals and are therefore expected to conduct themselves as such and in a manner that demonstrates total impartiality, courtesy and fairness to all parties.
Spectators involved with the game must never permit anyone to openly or maliciously criticize, badger, harass or threaten an official, coach, player or opponent.
Coaches must be able to demonstrate a solid knowledge of the rules of lacrosse, and should adhere to the rules in both the letter and the spirit of the game.
Coaches should provide a basic knowledge of the rules to both players and spectators within his/her program. Attempts to manipulate rules in an effort to take unfair advantage of an opponent, or to teach deliberate unsportsmanlike conduct, is considered unacceptable conduct.
Eligibility requirements, at all levels of the game, must be followed. Rules and requirements such as age, previous level of participation, team transfers, etc, have been established to encourage and maximize participation, fair play and to promote safety.
For any Participant that is not 18 years old
As legal guardian of this participant, I hereby verify by my signature below that I have read and fully understand each of the above conditions for permitting my child to participate in any Mid South Lacrosse recognized or sanctioned event, and I accept each of the above conditions, especially the waiver and release set forth in paragraph one.