Greater Loch Raven Recreation Council
Baltimore County Department of Recreation and Parks
410-887-5309
Loch Raven Men’s Summer Lacrosse 2015
Team Registration Form and Info Sheet
REGISTRATION:
 Team registration is on a first come, first served basis. Space is limited. Individuals may register and will be placed on
the Loch Raven team. If space does not become available, your money will be returned.
 Games will be played on Mondays and Wednesdays at Loch Raven Academy. Each team will play 2 games each week.
Game time is 5:45PM and 7:00PM. Teams will play 9 league games and at least 1 playoff game.
 Team Cost: $1400 by May 10th ($1500 after May 10th). Register online at www.glrrc.com. Click on Lacrosse, Men’s.
 Individual Cost: $80 by May 10th ($100 after May 10th) Register online at www.glrrc.com
 Open to men ages 18 and above (must be post high school). No high school players.
GENERAL INFORMATION:
 Club Lacrosse rules: 20 minute running halves; 5 minute halftime. Games begin promptly at time specified.

No equipment will be supplied by the league. All players MUST wear a mouth guard, shoulder pads, and arm pads
during play. Goal keepers are not required to wear arm pads.

All teams and participants must have own health and liability insurance.

No smoking on or in county property.

No alcoholic beverages allowed at game sites by either players or spectators.
PARKING:
Loch Raven Academy: PARK ONLY on school side of street for all games – both players and spectators. Parking is also
available in front of the school.
RAIN DATES:
Due to the tight schedule and limited field space, the first rainout game might not be rescheduled. All rained out playoff games
must and will be made up prior to the next scheduled playoff game.
NOTIFICATION:
After May 21, 2015, team coach/manager will be emailed the schedule, location, and rules.
Note: You must provide a valid
E-mail address on the application. If you cannot provide one, it will be your responsibility to check the
web site: www.glrrc.org for this information.
Contact:
Matt Buschman, 443-690-8691
Email: [email protected]
Should you require special accommodations (i.e. sign language interpreter, large print, etc,) please call 410-887-5309 or Therapeutic Office 410-887-5370,
TT/Deaf 410-887-5319. These programs are designed to provide a healthy and enjoyable leisure experience for your child. However, it is not designed to provide
child care. Therefore, parents are encouraged to discuss attendance expectations with their children. Department staff cannot detain youth wishing to leave at any
time.
TEAM APPLICATION
Loch Raven Men’s Summer Lacrosse
Team Name: ______________________________________________________________
Coach’s Name: ___________________________________________________ Email: __________________________________________
Address:_______________________________________________________________________
City _______________________________________ Zip _________________
Schedule:
June 1 – July 3, 2014:
July 6
TBD
Phone no. with Area Code__________________________
Regular Season
First Playoff Games
Finals and Championship Game
Registration: Applications received until teams are filled or May 22, 2015, whichever occurs first.
Applications received after teams are filled will be put on a wait list. All applications must
be filled out in full.
Cost:
$1400 per team by May 10th
$1500 per team after May 10th
$80 for individuals (no team affiliation) by May 10th
$100 for individuals (no team affiliation) after May 10th
Register Online: www.glrrc.com Click on Lacrosse, Men’s Summer
Checks:
Payable to GLRRC – NO REFUND POLICY (unless space unavailable)
Mail to:
Loch Raven Men’s Summer Lacrosse
P. O. Box 42037
Baltimore, MD 21284
Note:
The attached waiver must be signed by all members of the team, including
coaches and assistant coaches. No team will be allowed to participate until this is
completed and forwarded to Matt Buschman. Any players added later must also
complete the form. Please make additional copies, if needed.
ACTIVITY: LOCH RAVEN MEN’S SUMMER LACROSSE
ACKNOWLEDGEMENT, WAIVER AND RELEASE OF LIABILITY:
I hereby confirm participant is in good health and able to participate in the activity. I acknowledge the activity may involve risk and danger of
bodily injury or death. I fully accept and acknowledge the activities may involve risk, and I hereby assume the risk and responsibility for all dangers
and risks associated with the participant in the activity. I further understand that concussion information is available at www.cdc.gov/concussion
I acknowledge Baltimore County, Maryland, the recreation council, and their respective employees, directors, officers, volunteers, members and any
other participant, entity, party or person involved in any regard with the activity or the activity premises and their respective agents, personal
representatives, heirs, employees, contractors, successors and assigns (each on “activity representative” and collectively the “activity
representatives”), shall not be responsible or liable in any regard or manner for any and all property damage or bodily injury (including serious
physical injury or even death) incurred by participant or any party related thereto as a result of his/her participation in the activity.
I have read, fully understand, and hereby freely sign, approve of, and agree to the terms of this registration form. I hereby unconditionally release,
discharge, covenant not to sue, waive my rights and remedies, and agree to hold harmless the activity representatives from any and all claims,
costs, demands, losses, damages, or expenses associated with, in whole or in part, participant’s involvement with the activity. I certify all answers
and information provided on this registration form are to the best of my knowledge true and correct throughout the activity. I shall inform the
recreation council in writing if any information provided in this registration form is incorrect or changes through the course of the activity. I
understand Baltimore County and/or the recreation council do not perform criminal and/or background checks on activity representatives. I shall
present a government-issued photo identification card including, but not limited to, my driver’s license, passport, or United States Visa to the activity
representative for review, if requested, at the time I submit this registration form to the recreation council.
Name of Participant(s)
Signature of Participant (over 18)
Or Parent, Guardian (if under 18)
Date
Baltimore County Department of Recreation and Parks
Relationship
to Participant