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RPI Lacrosse Experience Prospect Day - October 13th & December 1st
Please complete this registration form to reserve your spot!

REGISTRATION INFO
Send payment on Venmo to @Scott-Hackett-Dalgliesh or write a check for $125 (Made payable to RPI Lacrosse) & mail to:
Vinny Biancardi, Assistant Men’s Lacrosse Coach
RPI-ECAV
110 8th St
Troy, NY 12180

EVENT INFO
The event will be limited to 75 players so please register as soon as possible!

This event will provide prospective student-athletes with personal instruction, lunch, t-shirt and use of our elite facilities.

The RPI Lacrosse Experience is open to prospective student-athletes in the graduating classes of 2020, 2021 and 2022. We still have spots in our 2020 class and have a strong focus on the 2021 class. This is a great opportunity to learn about RPI and our lacrosse program. You will be front-and-center to get instruction from our staff, as well as meet some of the current Engineer athletes, all while competing in East Campus Athletic Village Stadium (ECAV) at RPI.

You will receive follow up information with more specifics a few days before the event.


SCHEDULE
Sunday, October 13th, 2019 &
Sunday, December 1st, 2019:

*9:15-9:45a Registration in the East Campus Athletic Village
*9:45-10:00a Locker Room
*10:10-12:30p Competitive College Level Lacrosse Practice
*12:35-1:50p Lunch, Information Session & Current Player Panel, ECAV Tour
*2:00-3:00p Scrimmages
*3:00-3:30p Wrap-Up

Email address *
Which Prospect Day Will You Attend? *
Prospect's First Name *
Your answer
Prospect's Last Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zipcode *
Your answer
Home Phone
Your answer
Prospect's Cell Phone *
Your answer
Parents Names *
Your answer
Parents Cell Phone Numbers *
Your answer
High School *
Your answer
Club Team *
Your answer
High School Graduation Year *
Position(s) *
Required
T-Shirt Size *
Emergency Contact Name *
Your answer
Emergency Contact Cell Phone *
Your answer
Family Doctor's Name & Phone Number *
Your answer
Facts concerning the child’s medical history including allergies, medications being taken, medications causing an allergic reaction, and any physical impairment of condition about which a physician should be alerted. *
Your answer
I am the parent/legal-guardian of, (“Player”) who has my permission to participate in the RPI Lacrosse Experience in Troy, NY on Sunday, October 13th, 2019 or Sunday, December 1st, 2019. I know that lacrosse is a contact sport that is inherently dangerous and involves risks of injury or even death. Furthermore, I acknowledge that there are ever-present risks in life generally and that during my child’s involvement in the RPI Lacrosse Experience, there will be such risk. I knowingly and voluntarily assume these risks, and hereby release and hold harmless RPI, and all of its agents, representatives, and assigns from all liability, claims, rights or causes of action which may accrue as a result of personal injury or property loss or damage sustained by Player arising out of, or as a consequence of, Player’s participation in the RPI Lacrosse Experience.I hereby authorize RPI personnel to authorize the performance of emergency treatment for children who incur injury or become ill, whose parents or guardians cannot be reached through reasonable efforts under the circumstances, I can best be reached through the emergency contact number provided. As a parent/guardian, I authorize the treatment of my child by a qualified and licensed medical professional, in the event of injury or sickness for which medical and/or surgical treatment is deemed appropriate by a qualified and licensed medical professional. This release is effective during any period of time in which my child is participating in the RPI Lacrosse Experience on Sunday, October 13th, 2019 and Sunday December 1st, 2019. I also hereby acknowledge my full and sole responsibility for payment of fees or costs for any treatment that my child receives pursuant to this Consent. Please type your full name below to sign & agree to this Assumption of Risk/Release. *
Your answer
A copy of your responses will be emailed to the address you provided.
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