Free Clinic: Orlando
Sunday, November 8th, 2026
Sunday November 8, 2026
Polk County Turf Field
Address: Northeast Regional Park, 50945 US-27, Davenport,FL 33897
10:30AM-11:15AM Itty Group (3-5 years old * Pre-K+K)
10:30AM-11:30AM 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
2 digit month, 2 digit day, 4 digit 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?
*
Please Select
Yes
No
N/A (aged 3-5)
Question is not applicable for player ages 3-5 as they will all use provided sticks
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)
*
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Free Clinic: ITTY (3-5 years old)
Sunday, September 20th, 10:30am-11:15am
Free
$
Free
Quantity
1
Item subtotal:
$0.00
$
0.00
Free Clinic: BITTY + GRITTY (6-8 years old)
Sunday, September 20th 2026, 10:30am-11:30am
Free
$
Free
Quantity
1
Item subtotal:
$0.00
$
0.00
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