Sunday Lacrosse

Spring Lacrosse Clinic for boys and girls - Run by our Boys Varsity Lacrosse Coaches, Kyle Berkely and James Avanzato, both played at Towson University.

Dates: Sunday April 14, May 5, May 12, May 19, May 26
Location: Beth Tfiloh Upper Field (high school)
Cost: $175
Time: 10am-11am
Grades: K - 8th

Only lacrosse balls will be provided. Each player must bring their own lacrosse stick.

Parent Name*

First NameLast Name

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Area CodePhone Number

Pediatrician*

First NameLast Name

Pediatrician Phone Number*

Area CodePhone Number

Child's Health Insurance*

Policy Number*

Other Commercial Insurance

Other Insurance Policy Number

Number of children registering for Sunday Sports*

123

Child 1 Name*

First NameLast Name

Child 1 Grade*

Date of Child 1 last physical exam*

Child 1 allergies or limitations*

Child 2 Name*

First NameLast Name

Child 2 Grade*

Date of Child 2 last physical exam*

Child 2 allergies or limitations*

Child 3 Name*

First NameLast Name

Child 3 Grade*

Date of Child 3 last physical exam*

Child 3 allergies or limitations*

We give our consent for Beth Tfiloh Staff to use their judgement in securing medical aid and ambulance service in case the parents cannot be reached.*

Sub Total

Total*

USDYE24 - Sunday Sports Registration

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Captcha*