2018 Men's Lacrosse Prospect Camp

Sunday, November 4, 2018

Albion College
100 N Hannah St
Albion, MI 49224
United States

Coach DeCola and his Albion Brits, Four-straight MIAA Tournament Champions (2018, 2017, 2016 and 2015-Sweet Sixteen) invite prospects to an on-campus recruiting opportunity this Fall at Albion College. This is a chance to work closely with the Albion College Men's lacrosse program. 

Come and experience what a day of lacrosse is like at Albion with our staff and meet the members of the 2018 Championship Britons.

Registration

Space is limited, this camp is on a first come first serve basis. 

The cost is only $135.00 and that includes:

• All instruction and coaches talks
• Classroom instruction and field sessions with current players and Coaching Staff
• Film Review and analysis
• Lunch provided to every participant (and families)
• Tours and meetings with Admission
• Football game day tickets for Saturday

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Select registration:

Women's Lacrosse Registration-$65.00

Men's Lacrosse Registration-$135.00

First Name

Middle Name

Last Name

Email Address

Birthdate

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Mailing Address

Country
Street
City
Region
Postal Code

Player's Cell Phone Number

Parent's Contact Number

Are you Hispanic?

Yes

No

Please select your race

American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other PacificWhite

High School Graduation Year

20192020202120222023

GPA

Applying As

FreshmanInternationalInternational TransferTransfer

High School (start typing and select from the drop down menu)

CEEB

High School Coach

High School Coach's Email

Parent First Name

Parent Email

Select One

Men's Lacrosse

Women's Lacrosse

Select your position

Attack

Midfield

Defense

GK

Select your position:

Attack

Midfield

Defense

LSM

GK

Faceoff

Dominate Hand

Right HandedLeft Handed

How many guests will be attending your visit with you?

012345

Stay Local! Call the Courtyard Marriott Albion at 517/629-8520 and mention your campus visit for 50% off your first night.
 

Would you like to stay overnight on campus with our team on Saturday, September 8th?

Yes

No

You must fill out this overnight form as soon as possible in order to stay overnight on campus: https://apply.albion.edu/register/overnightform

Emergency Contact

Relationship

Cell Phone Number

Home Phone Number

Describe treatments you are receiving for current illness/conditions Include chronic illnesses i.e. asthma, diabetes, seizures.

List any allergies e.g.: insect stings, food, medication, etc.

List any medications you are currently taking

Academic Interest (use ctrl. to select more than one)

AccountingAnthropologyAnthropology/SociologyArtArt HistoryAstronomyBiochemistryBiologyBusinessChemistryCommunication StudiesComputer ScienceCreative WritingEarth ScienceEconomics and ManagementEducationEducation (Elementary)Education (Secondary)EnglishEnvironmental SciencesEnvironmental StudiesEthnic StudiesExercise ScienceFinanceForeign LanguageFrenchGender StudiesGeological SciencesGermanHistoryHuman ResourcesHuman ServicesIndividually Designed MajorInternational BusinessInternational StudiesJournalismMarketingMathematicsMusicMusic-PerformanceNeuroscienceNursingPhilosophyPhysical TherapyPhysicsPolitical SciencePre-DentalPre-EngineeringPre-LawPre-MedicinePre-Social WorkPre-VeterinaryPsychologyPublic PolicyReligious StudiesSociologySpanishSports MedicineSustainability StudiesTheatreTrans-American Latina/Latino StudiesUndecidedWomen's Studies

Permission to Treat

Authorization for Emergency Care and Treatment. * I authorize Albion College and any person with staff responsibility in the Albion College Men's Lacrosse Camp to obtain emergency medical, dental, optical or other emergency care for my child named above.

Yes

Release from Liability, Waiver of right to Sue * In consideration of my child?s participation in this program, I release and discharge Albion College, each Albion College employee who conducts any activity in which my child may take part, from any and all claims, demands, damages, rights of action or cause of action that otherwise accrue to my child now and later.

Yes

Albion College is not responsible for lost or stolen property.

Insurance Information

Carrier Name

Policy Number

Policy Holder Name

Policy Holder Date of Birth

Payment

Amount Due
Method	Credit or Debit Card Checking Account
Number
Expiration	JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember20182019202020212022202320242025202620272028
Card Security Code	The American Express security code is a 4-digit number printed on the front of your card. It appears after and to the right of your card number. 4-digit Card Security Code: The verification number is a 3-digit number printed on the back of your card. It appears after and to the right of your card number. 3-digit Card Security Code:
Checking Account	This option is only available for bank accounts in the United States. Copy the transit/routing and account numbers from the bottom line of your check. Your check will be processed electronically. You do not need to mail a check. Routing Number 9 digits Account Number 3-17 digits
First Name
Last Name
Country
Street Address
City
Region
Postal Code

Please let us know which option(s) you will be taking part in? Please check as many as apply.

Saturday, November 3rd Admission Visit and Football Game (10:00 am until 4:00 pm)

Sunday, November 4th Men's Lacrosse Prospect Camp