BERSERKERS LACROSSE

Participation in
BERSERKERS LACROSSE select teams is EARNED.

If you would like information about our program and want to receive notifications about try-outs and/or being invited to participate, please complete the following fields.

You will not be contacted until which time as information regarding an upcoming season is both available and applicable.

* indicates required

PLAYER NAME *

PLAYER'S CURRENT GRADE *

PLAYER'S CURRENT AGE *

PLAYER'S BIRTHDAY *

Month / Day

PLAYER'S CURRENT CLUB *

club and/or rec team

PARENT NAME *

PARENT EMAIL *

PARENT PHONE *

HOME ZIP CODE *

PLAYER'S CLUB LEVEL EXPERIENCE

0-2 YEARS
2-3 YEARS
3-5 YEARS
5+ YEARS

PLAYER'S POSITION

MIDFIELD
ATTACK
DEFENSE
GOAL