Jack Jam

Location: The Governor's Academy, 1 Elm Street, Byfield, MA

Time: Men's Lacrosse Tournament 11:00 AM - 5:00 PM, with BBQ to follow (registration begins at 10:00 AM)

Event Details: This is a 21+ event featuring great lacrosse, live music and a world class after-party BBQ in memory of Jack Sandler

Team Registration Fee: $1,650

Individual Registration Fee: $65

All-inclusive After-Party BBQ Wristband: $35

*Whether you’re playing or just want to join us for the fun, music, food, company and support Jack's Foundation, after-party BBQ wristbands can be purchased on this registration form in advance for $35. The bands give all access to BBQ, beer/cocktails, and live music.

*Registration Deadline: July 1st, 2022!

The Men’s Jamboree Logistics: Each team will play at least 3 games followed by playoffs and finals. Games will be played on Turf and grass fields with certified officials. Beer/cocktails, BBQ and band will begin at 5:00pm. Facilities will be available to shower and change.

Ensure early registration and roster details to secure a Jack Jam team shirt for each player from Atlantic Sportswear. Each registered player will receive a unique Jack Jam shooter shirt in their team's respective school colors to wear throughout the tournament and take home.

If you have questions about this exciting event please contact Jack Jam Registration at: Jacksandlerleadership@gmail.com

Athlete Information

Athlete's Name

First Name Last Name

Birth Date

Month Day Year

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Cell Number

E-mail

example@example.com

Team Association:

Emergency Information

Emergency Contact's Name

First Name Last Name

Relationship

Phone Number

Benefiting The Jack Sandler Leadership Foundation

100% of the proceeds go directly to the 501(c)(3)

WAIVER & RELEASE OF LIABILITY:

I am fully aware of and appreciate the risks, including the risk of catastrophic injury, paralysis and even death, as well as other damages and losses, associated with participation in lacrosse programming and / or a lacrosse event. I further agree, on behalf of myself, my heirs, and personal representatives, that those involved in the planning of the Jack Sandler Jamboree, Governor's Academy, and the Jack Sandler Leadership Foundation, along with the coaches, volunteers, employees, agents, officers and directors of these organizations, shall not be liable for any injury, loss of life or other loss or damage occurring as a result of the above named individual participation in lacrosse programming and / or a lacrosse event, or as a result of equipment that may have been provided to me for these activities.

Please sign below.

Confirmation BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

* To complete your registration, please enter the appropriate amount in the "USD" box to the right of "Registration Payment via Square" provided at the bottom of the form. You will then complete the credit card information, sign and submit. For example, if you are registering to play as an individual ($65) and attend the BBQ ($35), please enter $100 in the box. If you are a team leader and registering your entire team for the Jamboree ($1,650) please enter $1,650. Each team member can pay individually using this form for the BBQ.

Registration Payment:

USD Registration

Credit Card