Registration & guardian

Odessa, FL — Casey Powell Skills Clinic. Enter participant details, then continue.

1 Registration

Registration

$150.00

2 Player Information

Siblings receive a $10 discount (use promo code "Sibling")

Before completing your registration, please take a moment to read our Parent Code of Conduct: Parent Code of Conduct

I have read and agree to the "Parent Code of Conduct":

Yes

First name:

Last name:

Email:

Age:

Birth Date:

Returning SPEED Lacrosse Player?:

Gender:

Female

Male

School Name:

What Sport Organization are you affiliated with?:

How did you hear about us?:

Grade:

Have you played box or field lacrosse before?:

Yes

If you answered Yes what is your level of experience?:

Have you played SPEED Lacrosse before?:

Rate Your Childs (or yours if participating adult) athletic ability (10 being the highest):

Do you have your own lacrosse stick?:

*Players must provide their own lacrosse sticks. Go to this website and use promo code UASPEEDLACROSSE to purchase a Powell lacrosse stick https://powelllacrosse.com/speed-lacrosse/

We do our best to attach your child to friend and coach requests. Please help us by entering requests below. Feel free to forward the registration link to your friend requests.

Friend Request 1:

Friend Request 2:

Friend Request 3 and beyond:

Team Manager Request:

Players Pinnie/Shirt Size:

Interested in being a Team Manager?:

Yes, Team Manager

Yes, Assistant Team Manager

Parent/Guardian Information

Parent/Guardian 1 First Name:

Parent/Guardian 1 Last Name:

Address:

Address2:

City:

Province / State:

Postal / Zip Code:

Address line 2:

City:

Postal/Zip Code:

Country:

Parent/Guardian 1 Phone number:

Parent/Guardian 1 Email address:

Parent/Guardian 2 First Name:

Parent/Guardian 2 Last Name:

Parent/Guardian 2 Phone Number:

Parent/Guardian 2 email address:

We're social, let us know how we can connect with you!

Instagram Username:

Twitter Username:

Facebook Page URL: