Information

First Name:*

Last Name:*

Date of Birth:*

Athlete Height:* Feet: Inches:

Skill Level:*

1 (Beginner)

2 (House League)

3 (Rep/Select B/C)

4 (Rep A/B)

5 (Advanced/Elite)

SESSION:*

SESSION 1 Mondays (7:00-8:00) ($395.50 CAD)

SESSION 2 Mondays (8:00-9:00 ($395.50 CAD)

SESSION 3 - Thursdays (5:30-6:30) ($395.50 CAD)

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Gender:*

Male

Female

Unspecified

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Email:*

Secondary Email Address:

Primary Phone #:*

Athlete Instagram:

Athlete TikTok:

Parent Instagram:

Parent Facebook:

Parent Twitter:

POSITION TYPE:*

BOX GOALIE

FIELD GOALIE

BOX AND FIELD GOALIE

Are you looking for goalie equipment :

BOX LEGS PADS

BOX PANTS

BOX UPPERS

BOX GLOVES

FIELD CHEST PROTECTOR

FIELD LEG GUARDS

FIELD GLOVES

BOX STICK

FIELD STICK

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Primary Hand:

Minor Lacrosse Centre :

Number of Years Playing Lacrosse:*

Is there anything else you Would like to share with us about your son or daughter? that will assist in our ability to provide the best coaching strategy, and engagement with each athlete?:

Comments/Notes - Feel free to add any medical conditions/allergies or comments:

Edge Lacrosse

EDGE GOALIE TRAINING - FALL SESSION