East End Lacrosse Club - Survey of Interest
To gauge interest from families living on the east end for their children to play organized lacrosse.

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Please contact ricky@eastendlacrosseclub.com with any further questions or comments.
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Email *
Are you interested in having your child(ren) play organized lacrosse on the east end of long island? *
How old is your child or children? *
Have they played lacrosse before? *
If your child(ren) has played before, please provide more detail on their experience, team, etc.
What days of the week would you be interested in practicing/playing? (check all that apply) *
Required
Which of the following would you be interested in: *
Required
What town on the east end do you live in? *
Do you live on the east end full time, weekends only or seasonal (e.g., only in the summer)? *
Do you own lacrosse equipment? *
Would you be interested in volunteering as a coach, etc.? If yes, please describe experience.
Parent Name:
Parent Email:
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