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Blue Knights Lacrosse Registration

BLUE KNIGHTS LACROSSE

BLUE KNIGHTS LACROSSE REGISTRATION

Join us for pad-less, non-contact lacrosse for boys and girls in the 5th - 8th grade

Every Wednesday beginning
February 21 through May 1
(No practice the week of March 13)

6:30 - 8:00 pm

Concordia Lutheran High School Schroeder Stadium

$165 per player
(includes lacrosse stick)

For questions or more information, contact:

Coach John Toukatly
[email protected]

PLAYER INFORMATION

First Name*

Answer required for "First Name"

Last Name*

Answer required for "Last Name"

Birthdate*

Answer required for "Birthdate"

2023-2024 Grade Level*

Answer required for "2023-2024 Grade Level"

5th

6th

7th

8th

School*

Answer required for "School"

USA Lacrosse Number

Answer required for "USA Lacrosse Number"

USA Lacrosse Expiration Date

Answer required for "USA Lacrosse Expiration Date"

USA Membership lookup: https://pub.usalacrosse.com

USA Membership Sign-up: https://www.usalacrosse.com/membership

PARENT/GUARDIAN INFORMATION

First Name*

Answer required for "First Name"

Last Name*

Answer required for "Last Name"

Email 1*

Answer required for "Email 1"

Mobile Phone*

Number Required

**Important Participation Release and Waiver***

All parents and participants must sign the following waiver in order to participate. Please upload the completed waiver form in the section below.

Participation Release and Waiver

Upload Waiver and Release Form below*

Answer required for "Upload Waiver and Release Form below"

Choose a file or drag it here.

Other sports and activities, lacrosse experience, relevant medical conditions, allergies, etc.*

Answer required for "Other sports and activities, lacrosse experience, relevant medical conditions, allergies, etc."

Confirmation Email

Answer required for "Confirmation Email"