Medusa Little Laxers Spring 2025 Clinic

Players First Name

Players Last Name

Players Grade

Parent Email Address

Phone Number (for emergency)

Is there anything we should know about your child?

I understand Medusa Lacrosse LLC will be taking photos/videos of my child while at this event and using them for advertisements, etc. I also understand that my child is participating in a contact sport and I release Medusa Lacrosse LLC & staff from the responsibility of any type injury & death.

Signature of Parent/Guardian

Signature field is empty.

Medusa Little Laxers G.C. Spring 2025 Clinic

Registration - G.C Location200

Medusa Athletics Lacrosse & Field Hockey

Medusa Little Laxers Spring 2025 Clinic

Medusa Athletics
Lacrosse & Field Hockey