Detroit City Recreational Lacrosse

Summer Panthers Registration

Get seen by college coaches at top level tournaments across Michigan. Open to class of 2031-2024. We hope to have the following teams this year:- Middle School (6th-8th grade)- Junior Varsity (by skill)- Varsity (by skill)Tournaments Meijer State Games, June 15-16 Allendale, MI King of Queens, June 29-30 (invite only*)Cincinnati, OH Summer Showdown, July 13-14St. Joseph, MI Summer Finale, July 27-28 Oxford, MI.
Student Name/Nombre del Estudiante *

First NameMiddle NameLast Name
Birth Date/Fecha de Nacimiento*

MonthDayYear
Age of athlete as of April 1st/Edad de el atleta desde el 1 de Abril*
Gender/Género*
Address/Dirección*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian E-mail/ correo electrónico del guardián*
example@example.com
Mobile Number/número de teléfono móvil*
Format: (000) 000-0000.
Location Information
YSYMYLYXLAXSASAMALAXLAXXLOther
Demographic Info & Participation Questions

As a non-profit organization, we use demographic data in order to get funding to keep our programs extremely low cost. Additionally, we want to make sure our programs are accessible to everyone - please fill out the information below! (Como organización sin fines de lucro, utilizamos datos demográficos para obtener fondos para mantener nuestros programas a un costo extremadamente bajo. Además, queremos asegurarnos de que nuestros programas sean accesibles para todos. ¡Complete la información a continuación!)
American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhiteBiracialPrefer not to answer
YesNoPrefer not to answer
YesNoPrefer not to answer
Please provide information about any allergies or medical conditions that the coach should have in case of emergency. (Proporcione información sobre cualquier alergia o condición médica que el entrenador deba tener en caso de emergencia.) *
Does your child have any current conditions that limit his/her ability to participate in this activity? (¿Tiene su hijo alguna condición actual que limite su capacidad para participar en esta actividad?)*
If “yes”, please explain and identify any modification that would enable your child to participate. (En caso afirmativo, explique e identifique cualquier modificación que permitiría a su hijo participar.)
COVID Policy: The safety and health of campers and staff is always the highest priority at Detroit United's camps. With the spread of the coronavirus disease (COVID-19) within the United States, we ask you to please keep your child home if they are feeling ill. (Política de COVID: La seguridad y la salud de los campistas y el personal es siempre la máxima prioridad en los campamentos de Detroit United. Con la propagación de la enfermedad del coronavirus (COVID-19) dentro de los Estados Unidos, le pedimos que mantenga a su hijo en casa si se siente enfermo.)*

I understand
I understand
Emergency Contact Information (name, cell phone number, relationship to child) (Información de contacto de emergencia (nombre, número de teléfono celular, relación con el niño))*
How did you hear about us? (social media/another organization/etc)*
Photo Release: I give permission for photos/videos to be taken of my child, and I understand that they may be used on organizational social media platforms or our Detroit United Lacrosse website. (Publicación de fotos: Doy permiso para que se tomen fotos/videos de mi hijo, y entiendo que pueden usarse en plataformas de redes sociales organizacionales o en nuestro sitio web de Detroit United Lacrosse.)*
Any additional notes?
My Products
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2024 Detroit Resident or DPSCD student
Covers registration fee, practices, games, uniform, pinnie

$150.00 Quantity
Item subtotal:$0.00

2024 Non-Detroit Resident
Covers registration fee, practices, games, uniform, pinnie

$300.00 Quantity

Total

$0.00

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Summer Panthers Registration

Location Information

Demographic Info & Participation Questions