Peak Academy Archers

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Player Full Name *

Date of birth *

YYYY

Grade (fall 2025) *

5th Grade

6th Grade

7th Grade

8th Grade

School Name *

Gender *

Female

Male

Prefer not to say

Other:

Lacrosse Experience *

Beginner

Some Experience

Advanced

Previous Team/Club *

Parent/Guardian Name *

Phone Numer *

Email Address *

Emergency Contact Name *

Emergency Contact Phone Number *

Allergies or Medical Conditions (Type “N/A” if not applicable) *

Health Insurance Provider *

Waiver & Permissions *

I understand that lacrosse is a contact sport and accept the risk of injury

Required

Waiver & Permissions *

I grant Peak Academy Archers permission to use photos/videos of my child for promotional purposes.

I do not grant Peak Academy Archers permission to use photos/videos of my child for promotional purposes.

Required

Waiver & Permissions *

I give permission for my child to receive emergency medical treatment if necessary

I do not give permission for my child to receive emergency medical treatment if necessary

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This form was created inside of Peak Performance.