Clinic Sign Up
Santa Rosa Lacrosse Club
Player Name
Parent/Guardian
First and Last
Address
City
Zip
Email
Phone
Level Of Interest
Please select
Definately will play for SRLC
Most likely will play for SRLC
Will be playing for other club
Not sure yet
I have my own stick
Yes
No
Participant
Info
Girls
Boys
Grade:
12
11
10
9
8
7
6
5
Below 5
Age Level:
High School
Under 15
Under 13
Under 11
School:
Clinic to Attend:
Oct. 26 .
Nov. 9 .
Nov. 23
Additional
Comments
NOTE:
your form will be sent but it may not look like it.