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HURRICANES GIRLS LACROSSE CLUB
TRYOUT REQUEST ONLY - NOT FOR SEASON REGISTRATION PURPOSES - REGISTER THROUGH THE REGISTRATION LINKS - ALL REGISTRATIONS RUN THROUGH TEAM SNAP. PLEASE CALL/TEXT 443-677-7503 for Registration Questions
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PLAYER TRYOUT REGISTRATION
Player Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Graduation Year
*
Your answer
Name and Location (City) of School Player Attends
*
Your answer
Home Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Home Phone
Your answer
Player Cell Phone
*
Your answer
Player Email Address
*
Your answer
Parent Email Address
*
Your answer
U.S. Lacrosse Membership # (REQUIRED)
Don't Know? Go Here:
USA Lacrosse Membership Lookup -
https://memberlookup.uslacrosse.org
Don't Have One? Go Here:
USA Lacrosse -
https://usalacrosse.com
*
Your answer
U.S. Lacrosse Membership Expiration Date
*
MM
/
DD
/
YYYY
Positions Played
*
Attack
Midfield
Defense
Goalie
Required
# of Years Playing
*
Choose
1
2
3
4
5
6
7
8
9
10
10+
Parent/Guardian Name
*
Your answer
Cell Phone
*
Your answer
Parent/Guardian Name
Your answer
Cell Phone
Your answer
Other Emergency Contact
*
Your answer
Cell Phone
*
Your answer
Does your child have any medical concerns including, but not limited to: seizures, drug allergies, nose bleeding, unusual reactions to insect bites, asthma, or diabetes?
*
Yes
No
Other:
If "Yes" or "Other", please explain below:
Your answer
How did you hear about us?
*
Your answer
Were you referred by a current player? If so, who?
*
Your answer
PARENT OR GUARDIAN AUTHORIZATION TO PARTICIPATE
I understand that I/my child will not be covered by any program insurance and I agree that I will not hold the team, coach, or program responsible for any injuries received while participating in the HURRICANES GIRLS LACROSSE CLUB program. I also agree that I am responsible for the reasonable care and return of any equipment loaned to me by the program.
By typing my name below, I agree to the above statement.
*
Your answer
EMERGENCY MEDICAL RELEASE
I give permission for my daughter to receive emergency medical treatment by any qualified individual necessary either on the practice field or game fields. I hereby authorize and hospital and/or physician to perform emergency treatment for any injuries resulting from my daughter's participation in the HURRICANES GIRLS LACROSSE CLUB program. I understand that every reasonable attempt will be made to contact me before taking this action.
By typing my name below, I agree to the above statement.
*
Your answer
Date of Registration
*
MM
/
DD
/
YYYY
Submit
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