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HRLax Boys HS Division

New Club Application

To apply for club membership in the Hampton Roads Lacrosse Boys High School Division, please submit the following application to the HRLax Boys HS Division operations manager. The operations manager will bring the application before the HRLax Boys HS Division for review at a monthly meeting. If approved by the HRLax Boys HS Division, it will forward the application to the HRLax Board of Directors to make a final determination on whether to admit the club to the league.

Required information:

Club Name:

Club Officers Contact Information:

Program Governance Board (At a minimum, clubs must have a Board of Directors with the following unrelated officers: President, Secretary, and Treasurer. One person will serve as a Program Administrator one officer of the Board of Directors may also serve as the Program Administrator)

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|President |Email |Telephone |

| | | |

|Secretary |Email |Telephone |

| | | |

|Treasurer |Email |Telephone |

| | | |

|Program Administrator |Email |Telephone |

| | | |

|Other Officer |Email |Telephone |

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|Other Officer |Email |Telephone |

School Sponsored Clubs

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|School Club Sponsor |Email |Telephone |

Official Club mailing address:

| | | |

|Street Address |City and State |Zip Code |

Projected Home Field for Games:

| | | |

|Name |Address |City |

Geographic Area Served by Club:

Clearly define the boundaries of the area from which players are to be drawn (e.g. – Area in Virginia Beach zoned for Cox High School or anywhere in James City County, Virginia, etc.)

Area:

Are you willing to accept players from contiguous areas that do not currently have a Club affiliated with a single public high school. YES NO

Are you willing to accept home schooled students living in your designated area or players living in your designated area attending private schools that do not have lacrosse programs.. YES NO

List any other known lacrosse clubs that currently draw players living within your proposed area:

If your proposed area will draw players from an existing team, have you notified the existing team about the intent to establish a new Club: YES NO

Priority: (When deciding whether to accept a new club, HRLax will give priority in the following order. Please check the applicable box.)

Club has 16 or more students attending a single public high school at which the Club will affiliate itself as a sponsored or non-sponsored club sport (additional students may be assigned based on HRLax zoning policy)

Club has 16 or more students zoned for a single public high school at which the Club will affiliate itself as a sponsored or non-sponsored club sport, but not 16 or more students actually attending that school. (additional students may be assigned based on HRLax zoning policy)

Club has 16 or more students from multiple public school zones and may or may not affiliate itself as a sponsored or non-sponsored club sport at any of the schools within those school zones.

(At its discretion, HRLax may request verification of the students upon which the application is based to establish priority)

Projected Teams: (check all that apply)

Varsity

JV

Girls Team:

Does a girls’ team currently exist for the school or school district served?

YES NO

If not, is there a plan to expand to include girls’ teams either now or in the future?

YES NO Explain:

Does your Club agree to abide by the HRLax Bylaws and the HRLax Boys HS Division policies, rules and regulations:

YES NO

Does your Club intend to organize as a not for profit entity under IRS 501(c)(3) or otherwise organize to benefit youth and not as a profit-making business:

YES NO

Does your Club agree not to recruit players from outside the player zoning areas, as established by the HRLax Boys HS Division.

YES NO

Please provide the status of the following:

Coaches identified and committed:

Financial plan to launch organization:

Shortly after club is admitted to HRLax Boys HS Division you will need to provide:

• US Lacrosse Group ID number for the new club

• Copy of organizing documents, if requested.

• Club profile with:

- Updated contact information

- Website link

- Mascot name

- Team colors

Date: _____________________________ Signature:__________________________________________

Email application to bhs.opsmanager@. The earlier we receive the application the more time we’ll have to work out any outstanding issues, thus increasing the likelihood the application will be recommended to the league board for a vote. Applications will be reviewed on a first received, first served basis.

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