Registration - Australian University Lacrosse Championship 2015
Please complete this form to register for the tournament to be held on Saturday 10 October 2015 at Lawn 7, Royal Park, Parkville (next to the State Netball & Hockey Centre).

To participate in the tournament you MUST be a currently enrolled student at an Australian University. The format of the competition is 5-a-side, mixed, non-contact lacrosse. This event is sanctioned by Australian University Sport.

First Name *
Your answer
Surname *
Your answer
Gender *
Email address *
Your answer
Mobile Phone
Your answer
Are you currently enrolled as a student at an Australian University? *
Bachelor, Masters, PHD & exchange students are all eligible. Email if you aren't sure of your eligibility
At which Australian University are you currently a student? *
If you selected "other" university, please specify the university
Your answer
Student ID *
Your answer
If you played lacrosse in the 2015 season, which club were you a member of? *
How did you hear about this tournament?
Waiver *
Lacrosse activities can be inherently dangerous. I acknowledge that I am 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.
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