Information | 2025-2026 Beginner Clinics | Rockwall and Heath Lacrosse

Player Personal Information

Athlete First Name:*

Athlete Middle Name:

Athlete Last Name:*

Athlete Date of Birth:*

Athlete Gender:*

Male

Female

Unspecified

Clear Current Selection

Athlete Grade for 2024-2025 Schoolyear:*

Clinic Selection

While we have a large number of sticks at our disposal, our stock is limited and as such, we are asking all registrants to register for one clinic to start to ensure we have sticks for everyone wanting to participate. Please select one of the dates below for the athlete to attend, and in the event the athlete wants/needs to attend another clinic due to an absence, please reach out to the Administrative Staff for assistance.

Which clinic are you registering for?:*

November 22nd, 2025 (Williams MS, 9-10 AM)

December 6th, 2025 (Cain MS, 9-10 AM)

December 13th, 2025 (Cain MS, 9-10 AM)

December 20th, 2025 (Cain MS, 9-10 AM)

January 17th, 2026 (Williams MS, 9-10 AM)

Clear Current Selection

Player Medical Information

While this event is a beginner's clinic and we're not expecting any contact or intense physical activity, we want to make sure we are aware of any medical conditions your child might have that we need to be prepared for should something happen.

Does your child have any medical conditions we should be aware of that may impact them negatively during physical activity?:*

Yes

No

Clear Current Selection

Is your child taking any medication that we should be aware of, whether or not they are known to cause health issues, episodes, or otherwise during physical activity?:*

Yes

No

Clear Current Selection

Does your child have any allergies we should be aware of? Please list any that may impact them during physical activities:*

Yes

No

Clear Current Selection

Parent/Guardian Information

Parent/Guardian First Name:*

Parent/Guardian Email:*

Parent/Guardian Last Name:*

Please provide a second parent or guardian email for us to send all updates:

Parent/Guardian Phone Number:

Emergency Contact First Name:*

Emergency Contact Last Name:*

Emergency Contact Phone Number:*

How did you hear about these clinics? If you heard of these clinics multiple times, please indicate which method helped most to bring you to sign the athlete up to participate:*