ELECTRAS
About Us
Participation Requirements
Equipment
2022 Coaching Staff
Where do our girls attend school???
AYL
Stapleton Jets Boys Program
Contact Us
2024 Fall Lacrosse
2024 Fall Registration
Check out
2028
Urban Elite
Registration for Fall '21-Summer '22
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Indicates required field
Participant's Name
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First
Last
Parent/Guardian Email
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2nd E-mail
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2021-22 Grade
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6th Grade
Club and/or Rec Team
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2021-22 School
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Projected High School
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D.O.B. (mm/dd/yyyy)
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Click Here to find your US Lacrosse Membership Number
US Lacrosse Membership #
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Jersey #
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Uniform Jersey Size
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Youth Medium
Youth Large
YXL/Adult S
Adult M
Jersey Style Preference
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Short Sleeve
Razor back
Sleevelss
No preference
Uniform Bottom
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Youth M
Youth L
YXL/Adult S
Adult M
Adult L
Uniform Bottom Preference
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Kilt/Skirt
Shorts
No preference
Does your daughter need any of the following?
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Practice reversible jersey
Grey UE t-shirt
Both
We are good
Will you be joining the performance training?
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Yes
No
Will you be participating in box lacrosse?
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Yes
No
Maybe
Will you be participating in skills on Tuesdays?
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Yes
No
Please select all that apply
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Our family will not need financial assistance
We are interested in a payment plan
Our family WILL need financial assistance
It takes a village. Are you interested in helping with one of the below needs.
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I need some time to think on this
Film editing system - Financial
Contribute to Shade Tents - Financial
Film games or practice - Focus
Host a kcik-off or end of season party
I would love to help but overcommitted this year
Phone Number
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Emergency Phone Number
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Address
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City
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Zip Code
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Please list medical conditions or allergies relevent to participating in athletics
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Additional Comments - Including commitments that might prevent your daughter from 100% participation or tournaments you already know you will not be able to make.
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ACTIVITY RELEASE OF LIABILITY
In exchange for participation in the activity of the Urban Elite Girls Lacrosse Team, organized by Stapleton Electras Lacrosse ("
Electras Lacrosse
"), of 4969 Verbena Street, Denver, Colorado, 80238 and/or use of the property, facilities and services of Electras Lacrosse, I agree for myself and (if applicable ) for the members of my family, to the following:
I agree to observe and obey all posted rules and warnings, and further agree to follow any oral instructions or directions given by Electras Lacrosse, or the employees, representatives or agents of
Electras Lacrosse,
.
I recognize that there are certain inherent risks associated with the above described activity and I assume full responsibility for personal injury to myself and (if applicable) my family members, and further release and discharge
Electras Lacrosse,
for injury, loss or damage arising out of my or my family's use of or presence upon the facilities of
Electras Lacrosse,
, whether caused by the fault of myself, my family,
Electras Lacrosse,
or other third parties.
I am a current US Lacrosse Member under Stapleton Electras Lacrosse
I agree to indemnify and defend
Electras Lacrosse,
against all claims, causes of action, damages, judgments, costs or expenses, including attorney fees and other litigation costs, which may in any way arise from my or my family's use of or presence upon the facilities of
Electras Lacrosse,
.
I agree to pay for all damages to the facilities of
Electras Lacrosse,
caused by my or my family's negligent, reckless, or willful actions.
I consent to the participation of my daughter, named above in the "Participants Name" box, in the
Electras Lacrosse,
Clinic, and agree on behalf of the above minor to all of the terms and conditions of this Agreement. By signing this Release of Liability, I represent that I have legal authority over and custody of the person named in the "Participants Name" box.
Any legal or equitable claim that may arise from participation in the above shall be resolved under Colorado law.
I understand that during the participation of lacrosse, with Electras Lacrosse, due to the nature of lacrosse being a contact sport, Electras Lacrosse may not be able to enforce face coverings, social distancing guidelines of 6ft distance, and other recommendations to prevent the spread of COVID-19.
I have read and fully understand the Electras Lacrosse,'s Activity Release of Liability and voluntarily surrender certain legal rights.
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Yes
Submit