Dirty Birds General Information Questionnaire  
This form is to register for future emails around Dirty Birds Lacrosse launch, clinics, and evaluations.
QUESTIONS: dirtybirdslacrosseatl@gmail.com
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Email *
Player Name *
Parent/Guardian Full Name *
2nd Parent/Guardian Email
Parent/Guardian Cell Phone Number *
Years of Lacrosse Experience *
Position *
What HS is your child affiliated with? *
Are you interested in learning more about future clinics? *
Are you interested in playing for a Dirty Birds Team? *
A copy of your responses will be emailed to the address you provided.
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