Free Clinic: Hampton/Fox Chapel
Saturday, June 20th, 2026
Saturday June 20th, 2026
Field TBD - Shadyside Academy Stadium Turf
Address:423 Fox Chapel Rd, Pittsburgh, PA 15238
3:30PM-4:15PM Itty Group (3-5 years old * Pre-K+K)
3:30PM-4:30PM Bitty and Gritty Group (6-8 Years old * 1st-2nd)
Parent Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
I agree to operational and marketing sms messages from JrJukers/Apex Training LLC
*
Yes
No
Player Name
*
First Name
Last Name
Player Nickname or Preferred Name
Ex: Drew (Andrew) / Gia (Giavonna)
Age
*
Please Select
3
4
5
6
7
8
9
Birthdate
*
-
Month
-
Day
Year
Date
Player Grade 2025-2026 School Year
*
Please Select
Pre-K 3s
Pre-K 4s
K
1st
2nd
School
*
elementary or preschool
Number of Seasons of Lacrosse Experience
*
Please Select
New to the Sport!
1
2
3
4
5
If your child is age 6-8, will they need to borrow a lacrosse stick? (ages: 3-5 will use provided sticks)
*
Please Select
Yes
No
N/A (aged 3-5)
Allergies or Medical Conditions for the staff to be aware of:
*
N/A for None
Shirt Size
*
Please Select
3T
4T
5T
Youth Small
Youth Medium
Youth Large
Clinic Options (Each child will need to be registered separately)
*
prev
next
( X )
Free Clinic: ITTY (3-5 years old)
Saturday, June 20th, 3pm-3:45pm
Free
$
Free
Quantity
1
Item subtotal:
$0.00
$
0.00
Free Clinic: BITTY + GRITTY (6-8 years old)
Sunday August 31, 2025, 3pm-4pm
Free
$
Free
Quantity
1
Item subtotal:
$0.00
$
0.00
Submit
Should be Empty: