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Age Brackets:
U9 Boys
U11 Boys
U13 Boys
JV Boys (U15) & Girls
Varsity Boys & Girls
Fees: $450/Team
U9 Boys, U11 Boys, U13Boys , JV (U15) Boys & Girls & Varsity Boys &
Girls tournament at the Hudson Valley Sports Dome, designed to
provide non-stop lacrosse action on 4 indoor turf fields.
Game Format
Only one wing man on face-offs/wing man on face-off may come off
of either side.
Game time will be centralized for all four games. Single horn will
start and stop play at beginning and end of each game. No timeouts may be taken inside of the last two minutes of either half.
TEAM NAME___________________________________________________________
COACH/CONTACT_____________________________________________________
ADDRESS______________________________________________________________
CITY/STATE/ZIP_______________________________________________________
PHONE (HOME)_________________________(CELL)________________________
E-MAIL________________________________________________________________
DIVISION IN WHICH YOU WILL COMPETE (Circle One)
U 9 Boys
U 11 Boys
U13 Boys
JV Boys (U15)
JV Girls (U15)
Varsity Boys
Varsity Girls
YOU MAY SEND THE TOP HALF OF THIS FORM WITH PAYMENT AND TURN IN THE BOTTOM
THE DAY OF THE TOURNAMENT. Also, parents may sign individual waivers if that is more
convenient......thank you!
Tournament Fee = $450
*Please note all fees are non-refundable
PLEASE Complete and return this Registration Form, Team Roster/Waiver Form, and check
payable to Dragon Lacrosse
Mail to: Colleen Dunning
4 Roe Ave
Cornwall On Hudson NY 12520
***This roster/waiver form must be completed and returned with tournament fee to secure entry.
WAIVER CAN BE BROUGHT THE DAY OF TOURNAMENT
PARENT'S WAIVER: I, the undersigned parent, certify that my child, named adjacent to my signature, has my
permission to participate in the games and related activities of the Rudolph Rumble tournament. I acknowledge and
understand that lacrosse is a dangerous sport and that there is a possibility of injury to my child. In consideration for
my child's participation in the game of lacrosse, I hereby release, acquit, and forever discharge indemnity, and hold
harmless from any and all claims, demands, actions, or causes of action for liability for damages arising out of, or in
any way related to, my child's participation in lacrosse tournament play, the host site, tournament officers, directors,
representatives, employees, agents, volunteers and representatives. NOTICE: The Rudolph Rumble Tournament does
not supply any form of medical coverage. All coverage is the responsibility of participating teams. ALL PARTICIPANTS
PLAY AT THEIR OWN RISK! THIS AUTHORIZATION IS IN EFFECT FOR THE PERIOD OF ACTIVE TOURNAMENT PLAY ONLY.
Parents
Signature
Player Name
Last
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
First
Date of Birth
Month
Day
Year