LV Membership Declaration

Membership Declaration 2019

As the parent or guardian of the Applicant, and by registering the applicant to participate in a Lacrosse Victoria Event and / or paying the applicable subscription, I hereby apply for membership of Lacrosse Victoria.

I authorise and consent to the applicant undertaking the lacrosse activities.  In consideration of the applicant's membership in Lacrosse Victoria being accepted, I expressly agree to be responsible for the applicant’s behaviour and agree to accept in my capacity as parent or guardian, the terms set out in this membership declaration, including the provision by me of a release and indemnity in the terms set out below.  In addition, I agree to be bound by and to comply with the Lacrosse Victoria constitution and any regulations and policies made under it. 

Further, I agree to the Applicant playing up two grades above their given age group.

In consideration of my application for membership being accepted I acknowledge and agree that:

   In this membership declaration: 

  • "Affiliated Club" means an affiliated member of Lacrosse Victoria *
  • "Claim" means and includes any action, suit, proceeding, claim, demand, damage, cost or expense however arising including but not limited to negligence but does not include a claim against a lacrosse organisation under any right expressly conferred by its constitution or regulation
  • "Lacrosse Activities" means performing or participating in any capacity in any authorised or recognised lacrosse activity endorsed by Lacrosse Victoria
  • "Lacrosse Organisation” means and includes LV, ALA and where the context so permits, their respective directors, officers, members, servants or agents
  • “LV” means Lacrosse Victoria Incorporated
  • "ALA" means Australian Lacrosse Association Limited.

If The Applicant’s membership is accepted
The Applicant will be a member of Lacrosse Victoria’s Surrey Park Lacrosse Club. I acknowledge the Applicant’s membership will be deemed to be accepted upon the Applicant’s participation in lacrosse activities and I acknowledge that I and the Applicant will be bound by and agree to comply with the constitutions, regulations and policies of the lacrosse organisations of which the Applicant becomes a member. 

Code of Conduct


Member Protection Policy


Please familiarise yourself with all of Lacrosse Victoria's constitutions, regulations and policies by visiting the LV Website:

Lacrosse activities can be inherently dangerous.  I acknowledge that the Applicant will be exposed to certain risks during lacrosse activities including but not limited to physical exertion, contact with lacrosse equipment (including stick, ball, shoes, protective eye-guards and headgear), body contact, ground contact, playing conditions (including indoor and outdoor surfaces/venues), weather, game associated items and fixed periphery ground items.  I acknowledge that accidents can and do happen which may result in me being injured or even killed, or my property being damaged.

I have voluntarily read and understood this warning and accept and assume the inherent risks in participating in lacrosse activities.

Exclusion of Implied Terms
I acknowledge that where the Applicant is a consumer of recreational services, as defined by any relevant law, certain terms and rights usually implied into a contract for the supply of goods or services may be excluded.  I acknowledge that these implied terms and rights and any liability of the lacrosse organisations (or any of them) flowing from them, are expressly excluded to the extent possible by law, by this membership declaration.  To the extent of any liability arising, the liability of the lacrosse organisation will, at the discretion of the relevant lacrosse organisation, be limited to the resupply of the services or goods or payment of the cost of having the services or goods supplied again.

Release and Indemnity

In consideration of Lacrosse Victoria accepting the Applicant’s membership I:

  • Release and will release the lacrosse organisations from all claims that I may have or may have had but for this release arising from or in connection with my membership and/or participation in any lacrosse activities; and
  • Indemnify and will keep indemnified the lacrosse organisations to the extent permitted by law in respect of any claim by any person arising as a result of or in connection with the Applicant’s membership and/or participation in any lacrosse activities.

Fitness to Participate
I declare that the Applicant is medically and physically fit and able to participate in any lacrosse activities.  I will immediately notify Lacrosse Victoria in writing through my affiliated club of any change to the Applicant’s medical condition, fitness or ability to participate.  I understand and accept that the lacrosse organisations will continue to rely upon this declaration as evidence of the Applicant’s fitness and ability to participate.

Medical TreatmentI consent to the Applicant receiving any medical treatment that a lacrosse organisation reasonably considers necessary or desirable for the Applicant during the Applicant’s participation in lacrosse activities.  I also agree to reimburse the relevant lacrosse organisation for any costs or expenses incurred in providing the Applicant with medical treatment.

Right to Use Image

I acknowledge and consent to photographs and electronic images being taken of me during my participation in any lacrosse activities.  I acknowledge and agree that such photographs and electronic images are owned by Lacrosse Victoria and that the lacrosse organisations may use the photographs for promotional or other purposes without my further consent being necessary.  Further, I consent to the lacrosse organisations using my name, image, likeness and also my performance in the lacrosse activities, at any time, by any form of media, to promote the lacrosse activities. If I do not want to allow my photographs and electronic images to be used for promotional or other purposes, I will send notification to Lacrosse Victoria via email, or by mail Level 2, 375 Albert Rd, Albert Park 3206.


Lacrosse Victoria collects, uses and discloses personal information for the purposes of conducting and administrating our organisation and other related activities, including for organising events, identifying participants, recording results and communicating with you, and for providing you with member services or promotional material such as other events or other sponsor offers. We collect, use and disclose personal information in accordance with our privacy policy. We may share your information with third parties as required, including but not limited to disclosing your personal information to other lacrosse clubs and partners. Our privacy policy contains information about how to access and correct personal information held by us, or how to make a complaint about the handling of personal information. Applications or services may be rejected if requested information is not provided. Opt-out procedures are available for individuals wishing to avoid receipt of promotional material from us or third parties. Contact information for Lacrosse Victoria and a copy of our privacy policy is available on our website at  

If any provision of this membership declaration is invalid or unenforceable in any jurisdiction, the phrase or clause is to be read down for the purpose of that jurisdiction, if possible, so as to be valid and enforceable.  If the phrase or clause cannot be so read down it will be severed to the extent of the invalidity or unenforceability.  Such severance does not affect the remaining provisions of this membership declaration or affect the validity or enforceability of it in any other jurisdiction.

I have provided the information as required on the registration form.  I warrant that all information provided is true and correct.

By submitting the registration form, and / or, making payment, I have read, understood, acknowledge and agree to the above terms including the warning, exclusion of implied terms, release and indemnity. 

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