Student Sports Registration Form

Ventura Pirates Lacrosse
Pirates Lacrosse Spring Season 2024

Registration Fees

Boys U8 $375

Boys U10 $425

Boys U12 $425

Boys U14 $425

Girls Elementary School $375

Girls Middle School $400

Registration includes game jersey, shooter(under) shirt and shorts. We will have limited loaner equipment. Please contact us for additional information.
We will contact you with payment information once enrollment is received.
If you have any questions, please contact Angel Quiroz at (805) 628-2906 or ventura.pirates.lacrosse@gmail.com
Contact Information
Player Name

First NameLast Name
Date of birth

MonthDayYear
Date
Age group
Male or female

MaleFemale
Address Information
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent's Information (if participant is under 18)
Parent's/Guardian's name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Parent's/Guardian's name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Emergency Contact 1

In the event of an emergency, please contact:
Name

First NameLast Name
Primary Phone Number
Please enter a valid phone number.
Secondary Phone Number
Please enter a valid phone number.
Name

First NameLast Name
Primary Phone Number
Please enter a valid phone number.
Secondary Phone Number
Please enter a valid phone number.
Shirt Size
Shorts Size
Additional notes
Emergency Contact 2

In the event of an emergency, please contact:
Should be Empty: