24 LACROSSE 

Official web site for Providence College Lacrosse Coach Chris Burdick's - camps not owned or operated by Providence College

 

24 LACROSSE LLC
Providence, RI

medical form

CAMPER FORMS

 

EMERGENCY HEALTH FORM 

Download PDF version here

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. PLEASE FAX TO

401-865-1231

 

 

 

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

Download a word version

 

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:

 

Lacrosse Office, Alumni Hall

1 Cunningham Sq

Providence, RI 02918

 

 

 

 

 

 

 

Copyright 2010 24 LACROSSE. All rights reserved.

Web Hosting by Yahoo!

24 LACROSSE LLC
Providence, RI