Fall Clinic 2025 Wednesday GC

Medusa Little Laxers Fall 2025 Clinic

Garden City

Wednesday Class

Players First Name:

Players Last Name:

Players Age (as of Sept '25)

US Lacrosse Membership Number (for insurance purposes):

Parent Phone Number:

Parent Email Address:

Is there anything you think we need to know about your child that would help us to better assist them during the clinic? (medical diagnosis, allergy, etc)

I understand that Medusa Lacrosse LLC will be taking some video and pictures of my child and possibly using them for advertisement purposes, only. I also understand that my child is participating in a contact sport which could result in injury and even death and do not hold Medusa Lacrosse LLC or staff members responsible.

Parent/Guardian Signature:

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Medusa Little Laxers Wednesday Class

Player Registration$200

Medusa Athletics Lacrosse & Field Hockey

Medusa Athletics
Lacrosse & Field Hockey