Information | Free Try Lacrosse Clinic - JAN 2023 | Armstrong Cooper Youth Lacrosse Association

First Name:*

Last Name:*

Date of Birth:*

Gender:*

Male

Female

Unspecified

What school district do you live in?:*

What school do you attend?:*

What is your current grade (2022-2023 school year)?:*

K

1

2

3

4

5

6

7

8

Please select the dates you will be attending the Try-Lax Clinics:

Feb 26: 7:00 - 8:00pm

Please select which date your child will attend (Only 2 clinics per child):

Jan 15

Jan 22

Jan 29

Parent / Guardian First Name:*

Parent / Guardian Last Name:*

Address:*

City:*

Zip:*

Email:*

Phone Number:*