Player Registration

Girls Requirements

Sunday September 18th, 2011
Widener University Athletic Fields
Please arrive at 10 am
Tryout time: 10:30am-12:30pm

Requirements for tryout: We are having an open tryout for our very first Girls HEADstrong Lacrosse Team. In order to register girls must be graduating from high school within the years 2013, 2014, and 2015. Once the team is selected the girls team will begin practice in the fall for two tournaments scheduled for October 7th, 2011 and November 13th, 2011. Both tournaments will be held locally in Downingtown at the United Sports Training Center! The Girls HEADstrong Team will plan to stay together into the Summer of 2012 where we will travel to tournaments in order to get the players the best looks from the best colleges. Tournaments in the Summer of 2012 are to be determined as of now. We look forward to seeing YOU at the first HEADstrong Girls Lacrosse tryouts on September 18th at Widener University.

Registration for girls is $27.00. A check made payable to the HEADstrong Lacrosse Club must be brought on the day of tryouts.

For any and all questions please email info@headstronglax.org.

Boys Information

Sunday October 2nd, 2011 and secondary date, Sunday October 16th
Widener University Athletic Fields
Tryout Times:
HEADstrong Green – High School Graduation Year 2015 – 10am-11:30am
HEADstrong Blue – High School Graduation Year 2013 – 10am-11:30am
HEADstrong Gold – High School Graduation Year 2014- 11:30am-1pm
Registration for boys is $27.00. A check made payable to the HEADstrong Lacrosse Club must be brought on the day of tryouts.

Register Now

* All fields are required to successfully complete registration

Select: Boys or Girls Team

Grad Year

Player DOB

Player Name

Parent Name

Address

City

State

Zip

Telephone (including area code)

Email

Position

HS Team

*Please tell us about any medical conditions we should be aware relative to your son or daughter participating in this program and/or before seeking medical treatment.

Parental/Guardian Authorization
As the parent or legal guardian of the above named registrant in The HEADstrong Lacrosse Club, I hereby give my son/daughter permission to participate. I have read this application and the program rules and regulations thoroughly and I understand and agree to abide by all aspects of them. I understand that lacrosse is a contact sport in which injury, even serious injury may occur and I assume all risks and hazards incidental to their participation in this program. I further release The HEADstrong Lacrosse Club, its staff, affiliates, and the host facilities from all liability associated with my son/daughter participation in this program. I understand that my registration fee is non-refundable and non-transferable, except as specifically allowed by The HEADstrong Lacrosse Club. I also grant the HEADstrong Lacrosse Club, its staff and designees permission to seek emergency medical care for my son/daughter. I certify that the insurance information provided is correct and current and agree to assume all responsibility for any medical expenses incurred.

Signature: Parent/Legal Guardian (by entering your name, you are confirming authorization and that this

Date

Enter the code shown here in the box below, then click submit to finalize your registration.
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