New Horizons Lacrosse Registration Form
Lacrosse is a sport that has been played for hundreds of years, originally started by indigenous peoples.

It is a sport that centers teamwork over individuals, constant improvement over natural talent, and community over competition.

New Horizons Lacrosse is a local organization dedicated to growing the number of low-income students and students of color (Black, Indigenous, Latinx, and AAPI) who play the sport of lacrosse. We recognize that lacrosse is a sport with some of the highest barriers to entry including cost of equipment and lack of regional familiarity in Texas which results in a lack of players of color.

New Horizons Lacrosse Fall Ball 2021 program will begin in September 2021. More details will be sent via email to those who register using this form.
Sign in to Google to save your progress. Learn more
Email *
First name of student-athlete | Nombre del estudiante *
Middle name of student-athlete | Segundo nombre del estudiante
Last name of student-athlete | Apellido del estudiante *
Student's cell phone number | Número celular del estudiante
Student's email address | Correo electronico del estudiante
Student's birthdate | Fecha de nacimiento del estudiante *
MM
/
DD
/
YYYY
Grade student is entering in Fall 2021 | Grado al que ingresará el estudiante en el otoño del 2021 *
School student is attending in Fall 2021 | Escuela a que asistirá el estudiante en el otoño del 2021 *
First name of primary parent/guardian | Nombre del primer padre *
Last name of primary parent/guardian | Apellido del primer padre *
Phone number of primary parent/guardian *
First name of secondary parent/guardian *
Last name of secondary parent/guardian *
Phone number of secondary parent/guardian *
Family Physician
Family Physician Phone
Family Dentist
Family Dentist Phone
Pre-existing Medical Condition
Allergies
Insurance Company
Insurance Policy #
Other Emergency Contact
Other Emergency Contact: Relationship
Other Emergency Contact: Phone
Other Emergency Contact: Phone
We are aware that participating in lacrosse is a potentially hazardous activity. We assume all risks associated with the sport, including but not limited to falls, contact with other participants, effects of weather and other risk conditions associated with the sport of lacrosse. All such risks are known and understood by us. We hereby release and hold harmless New Horizons Lacrosse Fund, its directors, members, officers, employees, agents and other representatives, Austin Community Foundation, Austin Independent School District (AISD), ACE,Central Texas Youth Lacrosse Association (CTYLA) and the coaches and staff involved with team activities, from any and all damages and claims suffered by us, the Player or any of our participant in team activities. We understand this informed consent and release and agree to its conditions on behalf of the Player. We also understand that without this agreement, the Player would not be able to participate in camp.
I agree to the above release. *
Required
Signature (please type) *
Today's date | La fecha de hoy *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of New Horizons Lacrosse Fund. Report Abuse