Utah County ASCENT

Utah County ASCENT

2025-2026 Registration
Player Name

First NameLast Name
Current Grade (25-26 School Year)*
Which high school will you attend?*
Which lacrosse league(s) have you participated in before? (select all that apply)*

None - I'm a new playerI have attended camp/clinicYouth RecYouth Club
Player Position*

AttackMidfieldDefenseGoalieI'm open to anything
Parent Contact Name*

First NameLast Name
Parent Contact Phone*
Parent Contact E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
All players must have a current and active USA Lacrosse Membership to participate. You can find your membership number or purchase a membership at usalacrosse.com
USA Lacrosse Membership Number*
Participation Waiver*

I understand that lacrosse is a physical sport that may result in injury. I consent for my child, named above, to participate in the Flex6 Lacrosse Camp and declare that we are participating at our own risk. We will not hold Utah County Lacrosse or any of the affiliated directors, coaches, and staff responsible for any injury that occurs while participating in our program. We will provide our own medical attention and treatment to our child if needed.
Signature*

Clear

Program Fees & Payment Packages*

Spring Season ONLYMar 2 - May 9 | 2 Practices & 1 Game per week | Team Pinny

$275.00

Summer Camp ONLYJul 7 - 30 | Mon-Thurs 9-10:30am | Camp Shirt

$200.00

Enter coupon

Total

$0.00

Register with a friend to receive a FREE limited edition water bottle (both players must list each other on their registration)
Name of Friend
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
Should be Empty: