Phillylacrosse.com, Posted 1/19/16
Registration is open for the Ursinus College 4v4 Tournament & Clinic for High School Girls on Feb. 7. The event is hosted by the Ursinus College Women’s Lacrosse Team
When: Sunday, February 7, 2016
Check-in begins at 8:45am
Clinic/Tournament begins at 9:30am
Where: Ursinus College- Collegeville, PA
Floy Lewis Bakes Field House
Who: Girls, Grades 9-12
Teams: Teams must consist of at least 4 field players and a goalkeeper. (8 player max. per roster)
-Additional GKs are welcome and encouraged!
-Coaches are welcome, but not required.
Individuals: You may register as an individual and we will place you on an independent team.
GKs: All participating GKs may be asked to play in additional games.
*We will communicate this information ahead of time.
Games: Officiated by UC Staff and Players
-Full Court style, 12 mins in length.
-Each team will play approximately 7 games
*Full Courts are the width of the field house
Registration Fee/Deadline: The cost is $55 per player and is due by January 31, 2016. No refunds will be issued. Checks may be made payable to “Ursinus College” and can be mailed along with completed registration form & release form to the following address
Katie Hagan-Women’s Lacrosse
PO Box 1000
601 E. Main St
Collegeville, PA 19426
-Playing surface is an indoor rubber floor- NO cleats permitted.
-Each player must bring her own equipment- Stick, goggles, mouth guard and sneakers.
-Goalies are responsible for own equipment- Stick, helmet, chest protector and any additional pads/equipment.
-A NATA certified athletic trainer will be on site for emergencies but will not be available for pre-game taping.
-Games will be officiated by Ursinus Women’s Lacrosse team members and coaches.
This is a great opportunity to warm up for your Spring season with quick, fast paced games. Tourney guarantees a lot of touches on the ball. Come with HS teammates, Club Teammates, friends or sign up as an individual and be placed on a team.
Contact Head Coach Katie Hagan with questions
Please return this completed portion, the Release, Indemnification, and Assumption of Risk, and your $55 payment by January 29, 2016. If coming as a team, please give your registration form to the group/organizer so they can submit the forms in one group.
Ursinus College 4v4 Tournament & Clinic Registration Form
Name:__________________________________ High School:_____________________________
Address:________________________________ Phone #:________________________________
Email Address :___________________________ Yrs Experience:___________ Age:____________
4v4 Tournament Name:____________________________________________________________________
QUESTIONS? Call or email Head Coach Katie Hagan @ 610-409-3177 or firstname.lastname@example.org
Release, Indemnification, and Assumption of Risk
Activity: Ursinus College Women’s Lacrosse 4v4 Tournament/Clinic
Name of Participant: ______________________________________________
I am signing this Release so that I can participate in Ursinus Women’s Lacrosse 4v4 Tournament/Clinic to be held February 7, 2016. This Release, Indemnification, and Assumption of Risk Statement covers all events and occurrences associated with the Activity. I understand that if I have concerns about my health or ability to participate, it is my responsibility to discuss my concerns with my physician before deciding to participate in the Activity.
I acknowledge and understand the risks inherent with the activities carried under this program. I agree to assume the risk that unexpected events may occur and result in loss, harm, injury, or illness to me or damage to my property while I am participating in or observing the Activity or while I am traveling to or from the Activity. I hereby agree to indemnify and hold harmless Ursinus College, Women’s Lacrosse program, its sponsors, employees, volunteers, affiliates, officers, agents, successors and assigns, subordinates, and any other persons connected to this event from any liability.
In the event that I require emergency medical treatment, I give my permission for evaluation, diagnoses, treatment, and/or medication in accordance with the standard medical practice by licensed medical personnel. I relieve Ursinus College, Women’s Lacrosse program of all responsibility and consequences that may arise as a result of treatment. Further, I agree to accept any and all financial responsibility as a result of the performed treatment.
I consent to the provision of emergency medical treatment to the extent that the treatment is necessary in the medical opinion of the doctor rendering treatment.
Signature of Participant: ________________________________________ Date: _________
If Participant is under the age of 18 years, Parent or Legal Guardian must also sign:
Signature of Parent / Guardian: __________________________________ Date: __________