Fall Clinic 2025 Tuesday GC

Medusa Little Laxers Spring 2025 Clinic Garden City

Tuesday Class

Players First Name

Players Last Name

Players Age (as of Sept '25)

Phone Number (for emergency)

Parent Email Address

US Lacrosse Membership Number (to be used for insurance purposes):

Is there anything we should know about your child that would help our staff to better assist him/her during the clinic (medical diagnosis, allergies, etc)?

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

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Medusa Little Laxers G.C. Fall Tuesdays 2025 Clinic

Player Registration$200

Medusa Athletics Lacrosse & Field Hockey

Medusa Little Laxers Spring 2025 Clinic Garden City

Tuesday Class

Medusa Athletics
Lacrosse & Field Hockey