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Trenton Lacrosse Registration
Some of the information below is required for insurance coverage by USA Lacrosse, the governing body for youth lacrosse.
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* Indicates required question
Child's First Name
*
Your answer
Child
's Last Name
*
Your answer
Child's Preferred Name (Nickname)
Your answer
Child's Current Grade
*
3rd
4th
5th
6th
7th
8th
Required
Lacrosse Experience
*
Beginner 0-1 years experience
Mid-level 2-5 years
Advanced >5 years
Child's Date of Birth
*
MM
/
DD
/
YYYY
Child
's Gender
*
Choose
male
female
other
Street Address
*
123 Main St
Your answer
City
*
Your answer
State
*
Your answer
ZIP code
*
123456
Your answer
Guardian's First Name
*
Your answer
Guardian's Last Name
*
Your answer
Relationship of guardian to participant
*
e.g. mother
Your answer
Guardian's cell phone number
*
e.g. 555-555-5555
Your answer
Guardian's email address
*
Your answer
Please tell us how you heard about Trenton Lax
*
Your answer
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