Men's Lacrosse Camps
Welcome to the Lynchburg College Men’s Lacrosse Camp Homepage
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2014 Fall League/Clinic
Registration is easy as 1-2-3! To fully complete registration complete and secure your spot for our Clinic follow these 3 steps.
1) Complete Registration here - Google Form
2) Complete Paypal Payment found here:
3) Fill out the following Emergency Contact and Insurance Form. Waiver (word doc)
LYNCHBURG LACROSSE FALL LEAGUE/CLINIC-2014
The Lynchburg College Men’s Lacrosse Program will offer a Fall League starting this September for Boy’s Lacrosse Players in the following age groups: High School, U15, U13, U11 and U9.
Please read below for more details.
Where: Lynchburg College-Shellenberger Field and Lynchburg College Practice Fields on Faculty Drive
When: 5 Sunday’s in September, October and November
9/28 -Instruction with College Coaches and teams will be developed from this practice session.
10/5-Positional Instruction and League Play
10/12- Positional Instruction and League Play
10/19- OFF WEEK
10/26- Positional Instruction and League Play
Times: 1-3 pm for all Age Groups
Format: There will be 30-45 minutes of instruction each day before games start. These instructional sessions will be position or team based. Ex. Shooting Clinics, Face-Off drills, etc.
The remainder of the time will be spent playing games within their division; 7 vs. 7.
Equipment: Each participant is required to where all equipment via US Lacrosse rules, including a mouthpiece. Each participant will be given a reversible jersey.
Also, you must print off and fill out the Lynchburg Lacrosse League Waiver/Medical Information Sheet.
Return either the first day of the league, fax or mail it. SEE BELOW.
However, if you would like you can send us this information along with a 100$ check payable to Lynchburg College Lacrosse to the following address;
Head Men’s Lacrosse Coach
1501 Lakeside Dr.
Lynchburg, Va 24501
All Fields Required
Contact Phone Number:
Date of Birth:
Grade in Fall of 2014:
Fall League Division: Please select one of the age groups below.
Size of Reversible: S/M____ L/XL___
Cost is 100$
US Lacrosse Ages will be used for this format:
All players must be 14 years old or younger on the August 31st preceding competition. It is recommended that when multiple teams exist within a program, the program should consider physical size, skill, and maturity when organizing teams.
All players must be 12 years old or younger on the August 31st preceding competition. It is recommended that when multiple teams exist within a program, the program should consider physical size, skill, and maturity when organizing teams.
All players must be 10 years old or younger on the August 31st preceding competition. It is recommended that when multiple teams exist within a program, the program should consider physical size, skill, and maturity when organizing teams.
All players must be 8 years old or younger on the August 31st preceding competition. It is recommended that when multiple teams exist within a program, teams should consider physical size, skill, and maturity.
Spring 2015 Quick Reference Guide
Born on or after 9/1/1999
Born on or after 9/1/2001
Born on or after 9/1/2003
Born on or after 9/1/2005
Lynchburg Lacrosse Fall League will reserve the right to consolidate divisions due to the number or participants and playing abilities.
Contact Information: Steve Koudelka Koudelka@lynchburg.edu
1501 Lakeside Dr. Lynchburg, Va 24501 434-544-8494 434-544-8365 (fax)
RELEASE AND COVENANT NOT TO SUE
This is a legally binding release and covenant not to sue given by
(print full name)
to Lynchburg College.
In consideration for receiving permission to participate in the Lynchburg Lacrosse 2014 Fall Clinic/League,
I am freely and voluntarily entering into this release and covenant not to sue.
I fully recognize that there are dangers and risks to which I
may be exposed by participating
in the Lynchburg Lacrosse 2014 Fall Clinic/League.
Examples of these risks and dangers are : include the risk of catastrophic injury, paralysis and even death, as well as other damages and losses, associated with participation in a lacrosse event and related sports conditioning activities
I understand that Lynchburg College does not require me to participate in this activity, but I want to do so despite the dangers and risks and despite this release and covenant not to sue.
I therefore agree to assume and take on all of the risks and responsibilities in any way associated with this activity. In consideration of and return for being permitted to participate in this activity, and for the services, facilities and other things provided to me by Lynchburg College in this activity, I HEREBY RELEASE LYNCHBURG COLLEGE (and its trustees, employees or agents) FROM ANY AND ALL LIABILITY, CLAIMS AND ACTIONS THAT MAY ARISE FROM INJURY OR HARM TO ME, FROM MY DEATH OR FROM DAMAGE TO MY PROPERTY IN CONNECTION WITH THIS ACTIVITY. I UNDERSTAND THAT THIS RELEASE AND COVENANT NOT TO SUE COVERS LIABILITY, CLAIMS AND ACTIONS CAUSED ENTIRELY OR IN PART BY ANY ACTS OR FAILURE TO ACT OF LYNCHBURG COLLEGE (or its trustees, employees or agents), INCLUDING, BUT NOT LIMITED TO, NEGLIGENCE, MISTAKE OR FAILURE TO SUPERVISE BY LYNCHBURG COLLEGE.
I recognize that this release and covenant not to sue means I am giving up, among other things, rights to sue Lynchburg College for injuries, damages or losses that I may incur. I also understand that this release binds my heirs, executors, administrators and assigns as well as myself.
I have read this entire release and covenant not to sue, I fully understand it, and I agree to all of the terms and conditions as stated herein.
Participant Waiver (Signature is required in order to participate) In consideration of my participation in the Lynchburg Lacrosse 2014 Fall Clinic/League sponsored events and activities, I agree to the following:
1. Medical Attention: I hereby give my consent to the Lynchburg Lacrosse 2014 Fall Clinic/League 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 Lynchburg Lacrosse 2014 Fall Clinic/League sponsored or sanctioned events.
2. Readiness to compete: I will only participate in those conditioning or activities in which I believe I am physically and psychologically prepared to participate.
Participant Primary Medical Insurance Carrier: _______________________________ Policy #_______________________
Signature of Participant______________________________________________
FOR ANY PARTICIPANT WHO IS NOT YET 18 YEARS OF AGE: As a 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 the Lynchburg Lacrosse 2014 Fall League, and I accept each of the above conditions.
Signature of Guardian_____________________________
Printed Name____________________________________ Date_____________________________
Emergency Contact Information:
PLEASE BRING, MAIL OR FAX. Steve Koudelka 1501 Lakeside Dr. Lynchburg, Va 24501 434-544-8365 (fax)firstname.lastname@example.org