Pick Up & Play Clinic with Jefferson County Wild Lacrosse

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please complete the form below to register for a FREE clinic to Celebrate Lacrosse! We look forward to introducing you to the fastest game on 2 feet! Wear sneakers or cleats and bring water. Equipment will be provided. Be prepared to have a great day!

Player's Name *

Player's Date of Birth *

YYYY

Player's Grade in School *

School Attending or Homeschool? *

Player Experience *

Have played in school

Have participated in a clinic or drop-in event

Have goofed around in the yard

Have never picked up a stick

Other:

Required

Parent/ Guardian Name *

Parent / Guardian Phone *

Parent / Guardian Email *

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms