2022 Women's Summer Lacrosse League Registration for players 18+
*Thursday Nights 7/7-8/11 at Whitman Hanson Regional High School Turf Field
7/7, 7/14, 7/21, 7/28, 8/4, 8/11  (No rain makeup dates)  
*Post High School + incoming 12th Grade
*Cost is $70
*You will need to be a member of US Lacrosse to participte - AT A LATER TIME
$35 - 19-22       $55 - 23+
DO NOT PURCHASE USA LACROSSE MEMBERSHIP UNTIL YOU YOU ARE TOLD TO DO SO https://www.usalacrosse.com/membership
*The email address you use to register will be used to notify you of last minute cancelations (usually due to weather).  
*Contact AC Decker at whlax1@gmail.com if you have any questions.  

Sign in to Google to save your progress. Learn more
Email *
I am 18 years old or over.                                                                             If you are under 18 at the start of the Summer League, have your parent complete the Under 18 Summer League Form.  https://sites.google.com/d/1aDeyCdNlV958xhQtnRaIc0MpRxoV2sn7/p/1rkwAqpMUHaKoyzmHCp8bmco3e1J-j2Jy/edit *
First Name *
Last Name *
Cell phone number *
Player age *
Positions - Check all that apply *
Required
School Level for Fall 2021 *
Medical Issues *
Name of Emergency Contact and relationship *
Phone number for emergency contact *
Street address *
Town *
Zip code *
-USA Lacrosse Membership -                                                                   DO NOT PURCHASE A MEMBERSHIP UNTIL YOU ARE TOLD TO DO SO. *
By participating in the WH LAX Summer League and related events, I agree to the following statements.  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 I have been through a physical examination within the last 13 months and am healthy and able to participate in sports. I verify that I have active health insurance that will last through the Summer League.  I also give my permission for the program to seek medical attention for myself in the event of an injury,  but again will not hold the Lacrosse League, its coaches, Whitman-Hanson Regional School District or its agents liable for said medical care or lack there of.   *
Type Ful Name for Electronic Signature for the Waiver / Physical / Insurance *
Date of Electronic Signature *
MM
/
DD
/
YYYY
What nights can you make it?  You can change these if you plans change. *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy