Martha's Vineyard "The Vineyard" Clinic: July 14 - July 17, 2020

Week 2: Tuesday, July 14 - Friday, July 17, 2020

Place: Edgartown Elementary School Field, Martha's Vineyard, MA

Time: 9:00 to 11:30 am

Grades: k-3; 4-8

Price: $295.00

Email Sue at for the Martha's Vineyard Youth Lacrosse Discount

Copy of updated immunization records required. 

Price: $295.00

Click Here if you do not have a USA Lacrosse number.
USA Lacrosse Number: *Required  
Contact Name: *Required  
Player First Name: *Required  
Player Last Name: *Required  
Contact Phone: *Required  
Player Grade: *Required  
Address: *Required  
City: *Required  
State: *Required  
Zip: *Required  
Email: *Required  
Alt. Contact Name / Number: *Required  
Player Birth Date: *Required  
Player Age: *Required  
Player Gender: *Required  
Any Medical Conditions?:*Required
Allergies? (please list):*Required
Primary Insurance Carrier: *Required  
Group Number: *Required  
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