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Maroons Sports

2018 Auburn Boys Summer Lacrosse Registration 

www.auburnlax.com

 

Grades 1-8 & ULA Coordinator

Steve Crosby

730-8664

Grades 9-12 Coordinator

Matt Smith

246-8243

Summer Registration Coordinator

Brian Dautrich

729-8369

Summer Lacrosse Chairman

Matt Smith

246-8243

 

All registrations for summer camp and ULA participation are due April 22, 2018. Timely registration is important so that we can commit to the appropriate number of ULA teams at each level, plan coaching staff needs for ULA/ camp and verify participant numbers for insurance purposes. A $25 late fee (per family) will be charged for all registrations received after April 22, 2018. 

 

***NEW this year – Summer Camp is open to kids entering Kindergarten the following fall (2018-19 school year). 

 

**You must have already attended Kindergarten the prior school year (2017-18) to be eligible for ULA participation. 

 

 

    The 28th Annual Auburn Summer Lacrosse Camp will be held Monday through Thursday beginning Thursday, July 5th and ending Thursday, July 19th.  All camp sessions will be held at Auburn High School.  Camp is split into four age groups as detailed on the following page. These grouping are determined by grade level and are focused towards the design of age and ability level appropriate instructional opportunities. Players of all experience and ability levels are strongly encouraged to participate. Equipment and sticks are available daily. Coach Smith will oversee a staff that includes a number of former AHS lettermen and standout college lacrosse players. All participants must live within the Auburn School District and attend an Auburn Public or Parochial School or attend a district that does not have a boy’s lacrosse program.

    Auburn Lacrosse will also once again be offering the opportunity for grade K-11 student-athletes to compete in the Upstate Lacrosse Association (ULA) League. Please reference the ULA information page in this registration packet for additional details. Please note that participation in the Auburn Summer Lacrosse Camp is suggested, but not required, in order to participate in the ULA leagues for students currently in grades K-7.

 

AUBURN LACROSSE HISTORY

    Auburn has a long and proud lacrosse tradition.  Ray VanGiesen, an Auburn High Alumni and an inaugural member of the AHS Athletic Hall of Fame, is widely recognized as the “founding father” of Central New York Lacrosse at the high school level.  VanGiesen was a collegiate lacrosse All-American at Hobart in 1932 before going on to found the Fayetteville-Manlius program in 1933.  

    The Auburn School District’s Lacrosse program was founded in 1972 by Mr. Thomas Butcher.  Since that inaugural season, the Maroons have enjoyed 28 sectional tournament appearances; 10 semi-final appearances (1976, 1995, 2000-2002, 2008, 2010, 2015, 2016, 2017), 6 sectional finals appearances (2001, 2008, 2010, 2015, 2016, 2017), a league championship (2005) and captured Sectional and Regional Championships and a NYS Final Four Berth in 2001.

    The Maroons have had 14 players earn US Lacrosse High School All-American and Academic All-American status. There are also hundreds of alumni who have participated in the game at the Jr. College, Division I, II, and III levels since the program’s inception. These alumni have gone on to earn numerous Collegiate Academic and Athletic All-American Honors, Players of the Year Honors and a number of JUCO and NCAA National Championships.  There are numerous alumni currently coaching or playing lacrosse at the college level. 

ULA Information 

 

*** Please note that participation in the Auburn Summer Lacrosse Camp is suggested, but no required, in order to participate in the ULA leagues for students currently in grades K-7. Students currently in grades 8-11 will participate in both summer camp and ULA. 

 

What is ULA?

The Upstate Lacrosse Association (ULA) was formed to provide an opportunity for the lacrosse playing youth of Central New York to compete in a fun and competitive atmosphere while focusing on the importance of developing the skills and attitude necessary to become successful in the sport of lacrosse and beyond. This league is open to players of all experience and ability levels. For more information please visit www.upstatelaxassociation.org

 

We will field ULA teams at the following grade levels: K/1/2, 3/4, 5/6, 7/ 8, High School. All grades refer to the grade attended during the 2017-18school year. 

 

Practices and Games:

ULA is a summer lacrosse league that runs from mid-June until late-July. Practices will begin in the middle of May with 1-2 practices per week, exact number of practices will be at the coach’s discretion. Each team will play approximately 8 games. There will be a mix of home and away games (travel distance can range from 10 - 45 minutes). The ULA game night schedule is as follows:

 

Grade K/1/2- Game Schedule TBD – created by the coaches

Grade 3/4 - Monday evening games

Grade 5/6 - Tuesday evening games

Grade 7/8 - Wednesday evening games 

Grades 9-11 – TBD

 

 

 

Camp Information 

 

Division

Grades

(2017-18 School Year)

Time

Fee

1

Pre-K, K,1st

9:30-10:30

Camp only = $110

ULA only = $110

Camp + ULA = $180

2

2nd,3rd,4th

10:30-11:30

3

5th ,6th ,7th

10:30-11:30

High School

8th - 11th

9:00-10:30

Camp + ULA = $180

 

**There is a $350 max per family

 

**Financial assistance available as needed. Please contact Coach Smith. 

 

 

 

 

 

 

 

 

 

Auburn Summer Lacrosse Registration Form

 

Registration Options:

  1. Detach and mail this form (including medical authorization and liability release forms) and your check in the amount of $110.00 / $180.00 made payable to AUBURN LACROSSE BOOSTERS to 6405 Victory Drive, Auburn, N.Y. 13021.  Please note that registrations must be received by April 22, 2018. A $25 late fee (per family) will be applicable to all registrations received after this date. 
  2. A registration session will be held on Sunday, April 15th, 2018 at Auburn High School (gymnasium entrance) from Noon – 2pm. 

 

 

Player Name:   ________________________________________________________________________________________________________________                                                

Address:     ______________________________________________________________________________________________________________________

 

Parent Phone (Cell Preferred): _____________________________________________________________________________________________   

 

Player Phone:  ________________________________________________________________________________________________________________

 

Parent Email: _________________________________________________________________________________________________________________                                   

Player Email: _________________________________________________________________________________________________________________

 

Grade (during the 2017-18 school year):  _________________________________________________________________________________

 

Age as of 6/1/2018: _________________________________________________________________________________________________________

    

School : ________________________________________________________________________________________________________________________        

T-Shirt/ Pinney Size: ________________________________________________________________________________________________________

 

Short Size: ____________________________________________________________________________________________________________________

* Uniforms will be provided for the youth level ULA teams. T-shirts will be ordered for all camp participants. Sizes available are Youth Small – Youth XL and Adult S – Adult XL. 

 

…………………………………………………………………………………………………………………………………………………………………….

Registering for (check below): 

Students currently in grades K-7 have the option of registering for camp, ULA or both. Students currently in grades 8-11 are required to register for both camp and ULA in order to participate.

 

ULA + Camp ($180) _____________

 

Camp Only ($110) _______________

 

ULA Only ($110) ________________

 

*Please include a $25 late registration fee (per family) for any forms submitted past the 4/22/18 deadline*

………………………………………………………………………………………………………………………………………………………………………

 

* No refunds can be given after 6/15/2018*

 

**Financial assistance available as needed. Please contact Coach Smith. 

 

 

 

 

AMATEUR ATHLETICMINOR WAIVER AND RELEASE OF LIABILITY

 

IN CONSIDERATION OF BEING ALLOWED TO PARTICIPATE IN ANY WAY IN THE AUBURN LACROSSE BOOSTERS, INC. AND SUMMER PROGRAMS AND OR THE UPSTATE LACROSSE ASSOCIATION-ULA INC., AND RELATED EVENTS AND ACTIVITIES, THE UNDERSIGNED:

 

  1.     1.AGREE THAT PARENT(S) AND/OR LEGAL GUARDIAN(S) WILL INSTRUCT THE MINOR PARTICIPANT THAT PRIOR TO PARTICIPATING HE OR SHE SHOULD INSPECT THE FACILITIES AND EQUIPMENT TO BE USED, AND IF THE PARTICIPANT BELIEVES ANYTHING IS UNSAFE, HE OR SHE SHOULD IMMEDIATELY ADVISE HIS OR HER COACH OR SUPERVISOR OF SUCH CONDITION(S) AND REFUSE TO PARTICIPATE.
  2.     2.ACKNOWLEDGE AND FULLY UNDERSTAND THAT EACH PARTICIPANT WILL BE ENGAGING IN ACTIVITIES THAT INVOLVE RISK OF SERIOUS INJURIES, INCLUDING PERMANENT DISABILITY AND DEATH, AND SEVERE SOCIAL AND ECONOMIC LOSSES WHICH MIGHT RESULT NOT ONLY FROM THEIR OWN ACTIONS, INACTIONS OR NEGLIGENCE, BUT BY THE ACTION, INACTION OR NEGLIGENCE OF OTHERS, THE RULES OF PLAY, OR THE CONDITION OF THE PREMISES OR ANY EQUIPMENT USED.  FURTHER, THAT THERE MAY BE OTHER RISKS NOT KNOWN TO US OR NOT REASONABLY FORSEEABLE AT THIS TIME.
  3.     3.ASSUME ALL THE FOREGOING RISK AND ACCEPT PERSONAL RESPONSIBILITY FOR THE DAMAGES FOLLOWING SUCH INJURY, PERMANENT DISABILITY OR DEATH.
  4.     4.RELEASE WAIVE DISCHARGE AND COVENANT NOT TO SUE THE AUBURN LACROSSE BOOSTERS, INC. AND OR ITS AFFILIATED ORGANIZATIONS, OTHER PARTICIPANTS, AND OR THE U.L.A., SPONSORING AGENCIES, SPONSORS, ADVERTISERS, AND IF APPLICABLE, OWNERS AND LEASERS OF PREMISES USED TO CONDUCT THE EVENT, ALL OF WHICH ARE HEREIN AFTER REFFERED TO AS “RELEASEES” FROM ANY AND ALL LIABILITY TO EACH OF THE UNDERSIGNED, HIS OR HER HEIRS AND NEXT OF KIN FOR ANY AND ALL CLAIMS, DEMANDS, LOSSES OR DAMAGES ON ACCOUNT OF INJURY, INCLUDING DEATH OR DAMAGE TO PROPERTY, CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OR RELEASEES OR OTHERWISE.
  5.     5.UNDERSTAND THAT HE/SHE MUST FOLLOW ALL LEAGUE RULES AND THAT HE/SHE MAY BE DISQUALIFIED FROM PARTICIPATION AT ANY TIME BY THE LEAGUE CHAIRMAN FOR FAILURE TO ADHERE TO SUCH.  PENALTIES CAN RANGE FROM A ONE GAME BAN, TO A LIFETIME BAN BASED UPON THE DISCRETION OF THE LEAGUE CHAIRMAN.  IT IS ALSO UNDERSTOOD THAT THE LEAGUE FEE IS NON REFUNDABLE UNDER THESE CIRCUMSTANCES.
  6.     6.A PHOTOCOPY OF THIS WAIVER AND THE MEDICAL AUTHORIZATION FORMS SHALL BE AS VALID AS THE ORIGINALS.

 

*I/WE HAVE READ THE ABOVE WAIVER AND RELEASE, AND UNDERSTAND THAT I/WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING AND SIGN IT FREELY AND VOLUNTARILY                                    

                                                                            

PARENT OR GUARDIAN (SIGNATURE/RELATIONSHIP)                        DATE

 

                        

PRINTED NAME OF PARENT OR GUARDIAN    

 

                                                                                                  

SIGNATURE OF PARTICIPANT (18 & OVER MUST SIGN)                        DATE

 

                                                                                        

AGE AS OF 6/1/18         DATE OF BIRTH             PRINTED NAME OF PARTICIPANT

 

                                

ADDRESS OF PARTICIPANT    

 

Auburn Lacrosse Boosters and/ or ULA

INSTITUTION/ORGANIZATION     

    

 

IF YOUR CHILD NEEDS MEDICAL, DENTAL HEALTH OR HOSPITAL SERVICES, YOU AS A PARENT MUST GIVE PERMISSION.  IT’S THE LAW. 

     WHAT ABOUT TIMES WHEN YOU CANNOT BE REACHED FOR PERMISSION?  A CHILD MAY BE TREATED WITHOUT PARENTAL CONSENT WHEN A PHSICIAN DETERMINES A TRUE EMERGENCY EXISTS.  THAT MEANS THE DOCTOR DETERMINES THE CHILD NEEDS IMMEDIATE MEDICAL CARE AND THAT AN ATTEMPT TO OBTAIN PARENTAL CONSENT WOULD RESULT IN A DELAY WHICH WOULD INCREASE THE RISK TO THE CHILD’S LIFE OR HEALTH. 

 EXCEPT IN A TRUE EMERGENCY, CARE MAY BE ORDINARILY RENDERED TO A CHILD ONLY WITH THE CONSENT OF THE PARENT OR LEGAL GUARDIAN.  SOMETIMES A CHILD MAY NEED UNEXPECTED CARE WHICH IS NOT, HOWEVER, A TRUE EMERGENCY.  IN SUCH CASES, MAKING AN EFFORT TO CONTACT A PARENT FOR PERMISSION CAN DELAY TREATMENT AND CREATE UNNECESSARY ANXIOUS MOMENTS FOR THE CHILD.

YOU CAN PREPARE FOR THE UNEXPECTED CARE YOUR CHILDREN MIGHT NEED WHEN YOU ARE AWAY FROM HOME.  TO DO THIS, MAKE SURE BABYSITTERS KNOW HOW TO REACH YOU AT ALL TIMES.  AND WHEN YOU KNOW YOU WILL BE HARD TO REACH, YOU CAN GIVE PERMISSION TO OTHER ADULTS.  THEY CAN THEN ACT FOR YOU BY PERMITTING YOUR CHILD TO BE TREATED IF UNEXPECTED CARE IS NEEDED.

THIS IS A LEGAL DOCUMENT.  WITH IT YOU MAY APPOINT RELATIVES, FRIENDS, TEACHERS, CLERGY and NEIGHBORS – ANYONE WHO IS OVER 18 YEARS OF AGE – TO BE RESPONSIBLE FOR YOUR CHILDREN WHEN YOU ARE AWAY FROM THEM.  IT IS ESPECIALLY IMPORTANT TO PREPARE THIS FORM FOR THE OCCASIONS WHEN YOU KNOW IT WILL BE HARD TO CONTACT YOU.  

FILL OUT THIS FORM CAREFULLY.  HAVE YOUR SIGNATURE WITNESSED BY AN ADULT DIFFERENT FROM THE PERSON YOU ARE MAKING RESPONSIBLE FOR YOUR CHILDREN.

AFTER YOU COMPLETE THIS FORM, GIVE IT TO THE ADULT(S) YOU HAVE NAMED TO ACT ON YOUR BEHALF.  IF YOUR CHILD NEEDS UNEXPECTED MEDICAL TREATMENT, THE RESPONSIBLE ADULT(S) SHOULD PRESENT THIS DOCUMENT TO THE APPROPRIATE PERSON – PHYSICIAN, DENTIST OR HOSPITAL REPRESENTATIVE.

                    

 

 

 

 

                

 

 

                    

 

 

 

            

AUTHORIZATION FOR MEDICAL TREATMENT OF MINORS

*Please note this form must be completed once for each child participating* 

 

NAMES OF MINOR

BIRTHDATE

IDENTIFY ALLERGIES OR SPECIAL CONDITIONS

 

 

 

 

I/ we, being the parent(s) or legal guardian(s) of the above named minor do hereby appoint:

 

NAME

ADDRESS

PHONE

AUBURN LACROSSE BOOSTERS, INC.

65 MATTIE ST, AUBURN, N.Y. 13021

246-8243

 

to Act in my/our behalf in authorizing unexpected medical, dental, surgical care and hospitalization for the above named minor(s) during the period of my/our absence, from: May 1st 2018 – August 31st 2018

 

This document shall be presented to a physician, dentist, or appropriate hospital representative at such time as unexpected medical, dental, surgical care or hospitalization.

 

 PARENT/GUARDIAN

 PARENT/GUARDIAN

Signature:

 Signature:

Address:

 Address:

WITNESS

 WITNESS

Signature:

 Signature:

Address:

 Address:

 

Hospitalization coverage for above named minor:

 

Insurance Company or Government Program 

I.D. or Contract # 

 

 

 

 

Family Physician

Phone Number

 

 

 

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