Detroit Youth Lacrosse BOYS Registration

Boys Grades 5-8

Wednesdays 6:00pm to 7:30pm @ Rouge Park
Thursdays 6:00pm to 7:30pm @ Rouge Park
Saturdays 12pm to 2pm @ Chandler Park
Sundays 2pm to 4pm @ Chandler Park

Rogue Park: 21415 Plymouth Rd Detroit, MI 48228
Chandler Park: 12600 CHANDLER PARK DR. DETROIT, MI 48213
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Child's Last Name *
Child's First Name *
Child's Birthdate *
MM
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DD
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YYYY
School
Grade *
Child's Shirt Size *
Address *
City *
Zipcode *
Parent/Guardian Name *
Cell Phone *
Email *
Emergency Contact Name *
Relationship to child
Emergency Contact Phone Number *
Please provide information about any allergies or medical conditions that coaches should be aware of.
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