24 LACROSSE LLC
Providence, RI
CAMPER FORMS
EMERGENCY HEALTH FORM
if this link is down please email jsimpso2@providence.edu to request a medical form be emailed to you
FAILURE TO PROVIDE EMERGENCY HEALTH FORM AND PHOTO COPY OF INSURANCE CARD WILL RESULT IN THE INABILITY TO PARTICIPATE
1. PRINT FORM
2. FILL OUT
3. PHOTO COPY INS. CARD
4. Scan and email to mailto:jsimpso2@providence.edu
EMPLOYEE FORMS
BCI BACKGROUND CHECK FORMS
(Providence College Camps Only)
If you are a college player or coach who is employed by the camp
FRIAR EMPLOYEE FORMS
Camp Employee Background Check
Prospective employees/volunteers will:
(a) complete Form #3 – the “Information Form for Employees/Volunteers…” – prior to commencement of employment or volunteer service,
(b) complete Form #4 – the Bureau of Criminal Identification Release Form (“BCI Form”);
(c) have the BCI Form notarized;
(d) attach the BCI Form to a copy of photo identification (drivers license)
(e) prepare a check or money order (no cash) for $5.00 payable to “BCI”; and
(f) submit the BCI Form, copy of photo identification and payment to Bureau of Criminal Identification,
150 South Main Street, Providence, RI 02903
(g) enclude a stamped evelope with the following address on it for the BCI to mail to Providence College:
Office of the General Counsel
Harkins Hall
1 Cunningham Square
Providence, RI 02918
Make a copy, and then forward copy to:
scan and email to cburdick@providence.edu
Lacrosse Office, Alumni Hall
1 Cunningham Sq
Providence, RI 02918
Copyright 2010 24 LACROSSE. All rights reserved.
24 LACROSSE LLC
Providence, RI