JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Midwest Junior Lacrosse Circuit
Summer box lacrosse circuit for players ages 18-23 organized by the
Chicago Portagers
,
Madison Milkmen
, and
Iowa Dogfish
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Birth Date
*
MM
/
DD
/
YYYY
Email Address
*
Your answer
Phone Number
Your answer
Home City and State / Province
*
Your answer
Current School
*
Your answer
Total Years of Field Experience
*
Your answer
Total Years of Box Experience
*
Your answer
Most Recent Box Team
Your answer
Primary Position
*
Forward
Defense
Faceoff
Goalie
Dominant Hand
*
Left
Right
T-shirt Size
*
XS
S
M
L
XL
XXL
Box Jersey Size
*
XS
S
M
L
XL
XXL
Instagram Handle
Your answer
Do you have any stats, highlights, or any other information you would like to share?
Your answer
Thank you for your interest in joining us for this upcoming summer
Feel free to reach out directly through
chicagoportagers@gmail.com
,
milkmenlc@gmail.com
, or
iowadogfish@gmail.com
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms