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 Fall MS LAX Clinic Registration 24-25
A Clinic Registration fee of $60 will be charged to your FACTS account. 
Location: ACE 
Time 3pm-4:15pm

Clinic Dates: 
10/16/24
10/23/24
10/30/24

Please ensure your child has LAX gloves. They can be purchased online or from Academy Sports or DICKS. 



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Student Name: *
Grade: *
Date of Birth *
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Parent Email: Please use the email you would like to receive lacrosse information. *
T-Shirt Size *
Father/Guardian Name and Cell: *
Mother/Guardian Name and Cell: *
Authorized Emergency Person Name and Number: *
Special Health/Emergency Info (i.e. diabetic, anemic, allergies/carries epi-pen):
A copy of your responses will be emailed to the address you provided.
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