2022 Women's Summer Lacrosse League Registration for players Under 18

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

7/8, 7/15, 7/22, 7/29, 8/5, 8/12 (No rain makeup dates)
Contact AC Decker at whlax1@gmail.com if you have any questions.
This is an Adult league, just choosing the format based on who can come. Currently, there is no charge for this as we try to get this going. If we have enought interest it will be around $50 plus you will need a US Lacrosse membership for Adults is $55. Recent grads and 12th graders can do the High school level for $35.

Email *

Player First Name *

Player Last Name *

Player Email *

Player Cell phone number *

Player age *

Positions - Check all that apply *

Attack

Midfield

Defense

Goalie

Required

School Level for Fall 2021 *

Graduated College / post High School

In College

Just Graduated High School

Entering 12th Grade

Medical Issues *

Parent Name completng the form *

Parent Phone number *

Street address *

Town *

Zip code *

-USA Lacrosse Membership - DO NOT PURCHASE A MEMBERSHIP UNTIL YOU ARE TOLD TO DO SO. *

Yes, my child has a USA Lacrosse Membership.

No, my child is not currently a member of USA Lacrosse (DO NOT PURCHASE THIS YET)

I give permission for my daughter to participate in the WH LAX Summer Ball. I agree to hold Whitman-Hanson, AC Decker, all coaches, officials, trainers (no trainer) and agents free from any liability whatsoever in the event of any type of injury; I also certify that my daughter has been through a physical examination within the last 13 months and that he/she is healthy and able to participate in the camp. I also give my permission for the program to seek medical attention for my son/daughter in the event of an injury, but again will not hold the camp/league, its coaches, Whitman-Hanson Regional School District or its agents liable for said medical care or lack there of. I also verify that my daughter's physical is up to date and has no restriction (no later than August 1 2021). *

I agree to the waiver and have up to date physical within 13 months on 8/11/22

Type Ful Name for Electronic Signature for the Waiver / Physical / Insurance *

Date of Electronic Signature *

YYYY

What nights can they make it? You can change these if you plans change. *

7/7

7/14

7/21

7/28

8/4

8/11

Required

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms