RocE6 2019 Lacrosse Registration Form
Please complete the form below to register your son or daughter for the 2019 RocE6 Lacrosse Season at Thomas P. Ryan Center (School #33) or SWAN Community Center (Wilson Foundation Academy)
Date of Birth
RocE6 Team (East - School #33/West - Wilson Foundation Academy/SWAN)
Parent Cell Phone
Any Allergies/IEPs/Health Condition Concerns
Emergency Contact Name/Relationship
Emergency Contact Number
Photo Consent - I hereby consent that all photographs taken by ROC E6, Inc and its affiliates may be used by ROC E6, Inc for publication on the company’s web-site, newspaper articles or any purpose ROC E6, Inc deems proper.
Field Trip/ Away Game Consent - I hereby consent for my child, to take field trips/Away games as a part of the ROC E6, Inc. 2018 Lacrosse Program. Transportation for field trips may be provided by an independent transportation system/Coach/Parent. My signature below is my consent to have my child participate and be transported under the above conditions.
Send me a copy of my responses.
Page 1 of 1
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service