Lacrosse 2013 HARVEY CUP TOURNAMENT 3rd Annual Harvey Cup Tournament /4*, 5/6 and 7/8 Grade Divisions Open to all BYLW teams!! June 8th & 9th at Harvey Airfield Hosted by Snohomish Lacrosse Club Round Robin Format w/ Guarantee 3 Games per Team Top teams from each pool for each division will advance to 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 basis For Questions, Dan O’Hern at 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 & PAYMENT DUE NO LATER THAN JUNE 1, rd Annual Harvey Cup Tournament /6th and 7/8th Grade Divisions When: June 11th & 12th, 2011 (Game Schedules posted ASAP) Where: Harvey Airfield Airport Way – Snohomish, WA What: 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 5/28 Club: ____________________________ Head Coach Name: _________________________ Team Name: _____________________ Division: 5/6th 7/8th Number of Players on Roster: _________ Contact Phone Number: ______________ 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, 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’Hern th Ave SE Snohomish (Checks payable to: Snohomish Boys Youth Booster) Please complete one (1) form per team, Roster must be included All 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 7/8th Rosters must be turned in by June 3rd, 2011 on this form. Team Name: Coach/es Name/s Player first name Player last name US Lacrosse number (Required)

Where Youth Make A Difference! June 11th & 12th at Harvey Field Every player that donates 2 non perishable food items to the Harvey Cup Food Drive will receive 1 raffle ticket to 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 items Canned Fruit (Peaches, Pears, Mixed) Canned Vegetables (Peas, Green Beans, Corn) Cereals Thank you on behalf of the The Snohomish Community Food Bank 1330 Ferguson Park Road Snohomish, WA (360)

HARVEY CUP LACROSSE TOURNAMENT June 11 & 12, 2011 WAIVER OF LIABILITY In 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 AUTHORIZATION I/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 son Signature of Parent/Guardian _________________________ Date______________ Health Insurance Company ____________________________ _ Health Insurance Policy Number ________________________