EMW Lacrosse Girls Registration Form

Select lacrosse session

Girls Summer 2026 - $175

Player first name

Player last name

2025 2026 Grade (current grade)

Upload proof of grade level. A simple picture of a report card or student ID will suffice. Be sure it shows the name and grade level the player.

Player Birthday

Month

Day

Year

Guardian #1 Full Name

Guardian Email #1

Guardian Phone #1

Guardian #2 Full Name

Guardian Email #2

Guardian Phone #2

Does your child attend Iroquois Central Schools?

Yes

No

If your child attends Iroquois, please provide their school email

If your child does NOT attend Iroquois, please enter their school district below. Please leave blank if you attend Iroquois.

Equipment Needed to Borrow

Stick

Goggles

None

To help everyone get a number they like, please list your top 4 jersey number choices in order of preference (e.g., 1st choice: #10, 2nd choice: #22, etc.). for your jersey. We will do our best to accomodate everyone. All these numbers must be different.

First choice for jersey number (#1-99)

Second choice for jersey number (#1-99)

Third choice for jersey number (#1-99)

Fourth choice for jersey number (#1-99)

Would you be willing to assist coach this session?

Yes

No