Upper Dublin Lacrosse Club- 1st Grade Clinic

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REGISTRATION FORM FOR UDLC 1st GRADE CLINIC

Please complete the information requested below to register for the UDLC 2024 Sunday 1st Grade Clinics.

The clinic is open to ALL Upper Dublin 1st graders- boys and girls!

Cost is $35 TOTAL.

Clinics will be held from 8 - 9AM at the Maple Glen Elementary School gymnasium. Six Sunday mornings, 8AM – 9AM. January 21, 28, February 4, 11, 18, and 25th..

Please submit payment via Venmo to @Treasurer-UDboysLax or bring a check payable to Upper Dublin Lacrosse Club to first clinic.

Email *

Player First and Last Name *

Player's Elementary School *

Parents/Guardian Name (first, last) *

Parent /Guardian email address *

Parent/Guardian Cell Phone *

Medical Insurance Name

Medical Insurance Policy Number *

How will you pay? *

I will Venmo

I will bring a check to the first clinic

Submit

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