Ireland Lacrosse Tryout Registration Form

Personal Details (required)

Your Full Name:

Your Email:

Select the tryout you are registering for (W = Women; M = Men):
W-Dublin, 23-24 June 2018W-New York, 3-5 Aug 2018M(U20)-Bayville, 10 June 2018M(Box)-Gormanston, 5-7 Oct 2018

Gender
MaleFemale

Date of Birth: (day-month-year; eg 01-Dec-2000)

Address

Which event will you attend (include date(s) and city)?

Eligibility and Passport Information (required)
Information regarding eligibility to play for the Irish national lacrosse team is available at National Team Vision (Player Eligibility & Selection Policy). You do not need to be eligible for the Irish national team in order to participate in an Ireland Lacrosse Tryout - players with an Irish connection but who do not qualify for the national team may participate with the Éire team in a variety of tournaments and other events. The Irish national team, and the Éire team, are both selected from the pool of players who participate in the Ireland Lacrosse Tryouts and associated Training Camp(s).

Do you have an Irish passport? YesNo

If you do not hold an Irish passport, please describe your Irish connection (eg Were you born in Ireland? Do you have a parent born in Ireland? Do you have a grandparent born in Ireland? Are you resident in Ireland? Do you have great grandparents born in Ireland?)

Medical and Emergency Contact Information (required)
List any health concerns you have:

Insurance Company

Company Address

Policy Holder Name

Emergency Contact Name

Relation

Emergency Contact Phone #

Lacrosse Details

Lacrosse Experience (brief summary)

Hand
LeftRightBoth

Position(s)

Consent and Acknowledgement (required)
By ticking the checkbox below, I hereby consent to the collection, storage and use of my personal data, in accordance with the Ireland Lacrosse Data Protection Policy, and also confirm that the questions on this form have been answered completely and truthfully to the best of my knowledge. If I am under the age of 18, I also confirm that I have obtained the permission of my parent or guardian to provide my personal data to Ireland Lacrosse and to participate in relevant Ireland Lacrosse events.

Participant Acceptance (required)
YesNo

Your Name

Please return to the Irish national team selection process announcement page to pay the requisite Tryout Registration Fee.