Youth Lacrosse Clinic Registration Presented by The Wellington Wolfpack Lacrosse League
Clinic will be held at the Wellington Village Park November 9, 2019 3:30-6:30
Registration qualifies athlete to be entered into a raffle to be held at 6:30 11/9/2019 for a New Lacrosse Stick & Ball
Email address *
Your relationship to athlete *
Parent/Guardian Name (First & Last) *
Your answer
Parent/Guardian Address (City, State, Zip) *
Your answer
Parent/Guardian Phone Number *
Your answer
Athlete's Name (First & Last) *
Your answer
Athlete's Age *
Your answer
Athlete's Date of Birth *
MM
/
DD
/
YYYY
Athlete's Gender *
Has your athlete played lacrosse before? *
Does your athlete have a membership with US Lacrosse? *
How did you hear about this clinic & our league?
Your answer
A copy of your responses will be emailed to the address you provided.
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