CAPITAL LAND LACROSSE AND FIELD HOCKEY
CO-PRESIDENTS: Gary R. Weiss MAILING ADDRESS: 7 Azalea Ct., Clifton Park, NY 12065
Chad C. Finck WEBSITE: www.CapitallandLacrosse.com
PHONE: (518) 527-1340 or 527-6110 E-MAIL:
MEN’S/HIGH SCHOOL FALL & WINTER LACROSSE PROGRAMS/LEAGUE 2015/16
FOR AGES 16 AND OLDER
The Capitalland Lacrosse Club has four programs planned for the fall and upcoming winter on the turf fields at the Sportsplex in Halfmoon. The information for first three programs is listed below and the registration form is on page two of this document. The Sportsplex, not us, is requiring a one time, yearly building access fee of $12. If you have already paid this fee to the Sportsplex within the past year for any sport or function you do not have to pay this for a full year.
FALL LACROSSE PROGRAM FOR MEN 16 YEARS OF AGE AND UP -
This competitive program will feature scrimmages each week that include experienced high school junior and seniors as well as college aged players and men. Player can register by mail to the address above or show up 20 minutes early each night to sign in. NO beginners.
DATES/TIMES: Wednesday Oct. 7 Oct. 14 starting at 9:30 pm. COST: The fee is $16 a night or $26 for both nights.
HIGH SCHOOL & MEN’S FALL LACROSSE LEAGUE *More league info is on page two of this form.
This competitive league is open to all EXPERIENCED HIGH SCHOOL JUNIOR AND SENIORS as well as college aged players and men and will feature league games each week and a playoff tournament at the end. Each game will be refereed by at least one qualified referee and supervised by a CLL representative.
DATES & TIMES OF THE LEAGUE - the league will play ever Wednesday night for six weeks starting 10/21 and ending 12/2 excluding 11/25. Games will start at 9:30.
PLAYERS OR TEAMS CAN ENROLL USING ONE OF THE FOLLOWING THREE MEANS. A group of players can form a full team enter that group as a team. A group of players can get together join as a partial team. An individual can sign up as a free agent they will be placed w/ other free agents on Capitallands team.
REGISTRATION can be done by sending the application on the back of this form to the address written above. We will be accepting applications ½ hour prior to each scheduled session at the Sportsplex as long as spots are available. *Full and partial team captains must e-mail me a roster by 10/19. My e-mail address is
FEES The fee for the league is $105 when signing up by 10/20 and $115 after that date. There is no pay per night program in our leagues.
CHRISTMAS BREAK LACROSSE for Men 16 and over.
During the holiday break we will be have a special come and play program that will feature a round robin nightly lacrosse tournament. On the evenings listed below we will break into teams and play multiple games. Come with your friends and play on the same team or as a free agent and we will put you on a team. Players do not to sign up in advance just show up 20 minutes before each playing date to sign in. The cost per night is only $15 a night.
CHRISTMAS BREAK LACROSSE will be held on the following Wednesdays starting at 9:30 pm.:
- December 9 - December 16 - December 23 - December 30 - January 6 - January 13
UPCOMING EVENTS - 2016 WINTER LACROSSE LEAGUE - FOR MEN’S 16 AND OLDER – on Wednesday night’s starting 1/20 through 3/2 excluding 2/17. More information will follow.
Breakaway Sports and Brine/Warrior are official sponsors of Capitalland Lacrosse.
REGISTRATION FORM to be used if you are registering by mail or for walk in signups players at the Sportsplex.
Name:______E-Mail address ______
Program enrolling in – circle one Fall lacrosse 10/7 & 10/14 - Men’s Oct./Nov. league - Christmas break lacrosse
Address: ______City: ______State: _____ Zip Code: ______
Phone #: ______DOB______Position______Are you new to Capitalland Y ___ N ___
To register by mail, Capitalland Lacrosse, 7 Azalea Ct. Clifton Park, NY 12065 Registrations will also be accepted ½ hour prior to each scheduled session at the Sportsplex as long as spots are available.
For our league - check the appropriate O below.
O Full team member. Team name/captains name is ______.
O Partial team member. Team name/ captains name is ______.
O Free agent.
***Before anyone can take the field at the Sportsplex ofHalfmoonthey must complete the following. Go to sportsplexofhalfmoon.com and click the link in the top right corner that reads Member Login and pay their once a year $12 fee. Please Call the Sportsplex with any issues on how to register. (518) 383-0991
GAME SITE: The Sportsplex of Halfmoon is located off exit 8A of the Northway. Head East off of the exit until you reach Route 9. Turn left and go about two miles. The Sportsplex is on the left behind the Soccer Unlimited Store on Corporate Drive. Enter at the sign for Pai’s Tae-kwon-Do.
Bad weather: If weather conditions are threatening, please contact 527-1340 or 527-6110 one hour before play is to begin to see if lacrosse is still going to be held.
*LEAGUE NOTES - The format of play will be in a 2-3-2 set up. Each game will have two 22-minute running halves with a five-minute half time. Jersey’s - each player will receive an official game pinnie. Since players do miss games because of work, sickness, vacations ... each team will have a minimum of fourteen players on their rosters and a maximum of eighteen. Capitalland holds the right to add players to a team that does not sign up with a full team of at least 14 players. All players need to check in fifteen minutes before their first game to pick up their schedules, pinnies, and league rules. Limited body checking will be allowed. A league schedule will be provided online before the start of week two. A team has until the start of the third week of play to add a player to their roster
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MEDICAL TREATMENT AUTHORIZATION
PLAYERS NAME______I do hereby authorize Capitalland Lacrosse Club, Inc. and it’s duly authorized agent(s) permission to request medical treatment, as necessary, to assure the well-being of our child.
Sign here - (Player’s signature)______
MEDICAL INFORMATION SECTION (To be completed by a player)
As stated on our Insurance Waiver forms, there always is a risk that injury (ies) or various physical/emotional conditions may result in a need for medical attention. To help the coaches and staff better monitor and respond to these possibilities, please describe any restriction(s) that may apply, and any medication needs that require our attention. Thank you for your cooperation in providing this information.
RESTRICTIONS:______MEDICAL NEEDS ______
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Coverage for accidental injury is required for all participants. Your family health plan is your level of protection. Our insurance contract allows no one to play in a Capitalland program until proof is provided and both waiver and release forms are completed.
______
FAMILY HEALTH INSURANCE COMPANY HEALTH INSURANCE POLICY NUMBER
You are engaging in a physically strenuous sporting activity that can result in physical contact and unintended injury. As the player or the parent or guardian (s) of the applicant in the Capitalland Lacrosse program I agree to, waive, discharge and covenant not to sue the Capitalland Lacrosse Club, Inc., their affiliated clubs, their respective administrators, participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and leasers of premises used to conduct the events, all of which are hereinafter referred to as “releases:, 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 of the releases or otherwise.
I HAVE READ THE ABOVE WAIVER AND RELEASE, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND SIGN IT VOLUNTARILY.
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(Signature of player or / guardian) (Printed Name of player / guardian)