Detroit City Recreational Lacrosse

Fall Panthers registration

Open to class of 2030-2024.Fall (September 17-November 5, 2023) EMU 6v6 Showdown, September 17 (extra $45) - Anchor Up 7v7 at Grand Valley State University, October 8 - Boo Bash (7v7), October 28. Practices Location: Lawrence Tech Stadium Days: Sundays September 17, 3-5pm September 24, 3-5pm October 1st, 1-3pm October 15, 1-3pm October 22, TBD November 5th, 3-5pm
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*
Location Information
T-shirt size for athlete/ talla de camiseta para atleta*

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!)
Race*

American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhiteBiracialPrefer not to answer
Are you of Hispanic or Latino/a origin? (¿Eres de origen hispano o latino/a?)*

YesNoPrefer not to answer
Do you qualify for free/reduced lunch? (¿Califica para almuerzo gratis oa precio reducido?)*

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
Refund policy. If an accepted registration is withdrawn for any reason up until 8 days prior to the start of the camp, you will receive a refund. No refund will be issued within one week of a camp session’s start date.*

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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2023 Detroit Resident or DPSCD studentCovers registration fee, practices, games, uniform, pinnie
$75.00 Quantity
Item subtotal:$0.00

2023 Non-Detroit ResidentCovers registration fee, practices, games, uniform, pinnie
$150.00 Quantity

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$0.00

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Fall Panthers registration

Location Information

Demographic Info & Participation Questions