Sign Up for Harlem Lacrosse

1 Start 2 Waivers 3 Covid Waiver 4 Media Release 5 Confirmation Email 6 Complete
Page 1 of 6

Thank you for being part of our team!
Leer el formulario en español.
Li fòm lan an kreyòl.

Player Information
Player Info
Medical Information
Parent/Guardian Contact Information
Enter contact information for parents/guardians and emergency contact for this player.
Parent/Guardian 1
Please fill out this information about yourself.
Parent/Guardian 2
Please fill this about about your child's other parent or guardian, if applicable. If not, please leave it blank.
Additional Contact Information
Please share the information of one other person we can contact if there is an emergency involving your child.
Student and Family Information
We have several additional questions about your child and your family. We are asking these questions because Harlem Lacrosse's donors and supporters sometimes want to know these facts about the group of students who participate in Harlem Lacrosse. We realize these are personal questions, so we thank you very much if you are willing to share this information with us. We will never share your personal information with anyone. When we talk about these facts, we will only share percentages for all HL participants (for example, "20% of Harlem Lacrosse participants receive special education services.”)