Register

Player Information
First Name*
Last Name*
Address Line 1*
Address Line 2
City*
State*
Zip*
Phone*
Email*
School*
Grade*
Age*
Lacrosse Experience (years)*
Position*
Parent or Guardian/Emergency Contact Information
Name*
Relationship to player*
Phone Number*
Alternate Phone Number
Email
Health Information
Physician Name
Physician Number
Date of Last Physical
Month Day Year
Identify any known medical or emotional illness or disorder that could pose a risk to yourself or other campers*
Is your player taking any prescription medication? If yes, please indicate the type and if the player if capable of taking them on her own.*
Payment and Waiver
Registration Fee*
Field Player $230.00 USD
Goalie $200.00 USD
Click Here To Read The Waiver
By checking the box to the right, I acknowledge reading the waiver and agree to all the terms and conditions listed in the waiver.*

I agree
How did you hear about us?*
By clicking Submit, you will be taken to Paypal to finalize registration. Registration is incomplete until payment is received. To pay by another method, please email info@lacrossemaster.com
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Player Information