Register | Fleming Island Lacrosse Club

Player Information

Tell us about the athlete who's registering.

Player first name *

Player last name *

Date of birth *

Grade (2025–26 school year) *

Gender *

Male Female

Is this player returning to FILC? *

Yes, returning No, new to FILC

Spring Program Details

Spring Recreational uses grade-based pricing. Fees update automatically as you make selections.

Grade Division *

CO-ED — Pre-K & K $125 CO-ED — Grades 1 & 2 $125 Boys/Girls — Grades 3 & 4 $175 Boys/Girls — Grades 5 & 6 $225 Boys/Girls — Grades 7 & 8 $225

Boys & CO-ED games: Saturdays at Julington Creek Plantation Park. Girls games: Sunday afternoons in NEFGYLL.

Prior lacrosse experience

Boys equipment rental +$50

Yes — add rental ($50) No — we have equipment N/A (Girls program)

Includes helmet, shoulder pads, elbow pads, and gloves. Sticks not included.

New jersey +$30

Yes — purchase new ($30) No — I have one from a prior season

Optional shorts +$20

Yes — add shorts ($20) No thanks

Jersey size

Shorts size

Parent / Guardian

Who should we contact about this registration?

First name *

Last name *

Email *

Phone *

Address *

Emergency contact name *

Emergency contact phone *

Medical Information

For the safety of the athlete. We share this only with coaches and medical personnel as needed.

Allergies

Medical conditions

Current medications

Does player wear glasses or contacts?

No Contacts Glasses Either

Waivers & Agreements

Please read and acknowledge each before completing your registration.

Liability & Risk Waiver *

I acknowledge that lacrosse is a contact sport and involves inherent risks including, but not limited to, bodily injury, serious physical harm, and property damage. I voluntarily assume all risks associated with my child's participation in Fleming Island Lacrosse Club activities, including practices, games, clinics, and club events.

In consideration of being permitted to participate, I release and hold harmless Fleming Island Lacrosse Club, its officers, directors, volunteers, coaches, employees, and affiliated organizations from any and all claims, demands, or causes of action arising from or relating to participation.

I confirm my child is in good physical condition and capable of participating in the selected program.

I have read and agree to the Liability & Risk Waiver on behalf of my child. *

Medical Authorization *

In the event of a medical emergency where I cannot be reached, I authorize Fleming Island Lacrosse Club staff and coaches to obtain medical treatment for my child, including first aid, transportation to a medical facility, and emergency medical procedures as deemed necessary by qualified medical personnel.

I authorize emergency medical treatment if I cannot be reached. *

Photo / Media Release I consent to FILC using photos or video of my child taken at practices, games, and events for club promotional purposes (website, social media, flyers). This is optional.

Code of Conduct * I agree that my family will abide by FILC's Code of Conduct, including respectful behavior toward coaches, officials, players, and spectators. *

Payment Plan / Scholarship

Optional — FILC doesn't want cost to be a barrier.

I'd like to request a payment plan. Someone from FILC will reach out to set up a schedule that works for you. I'd like to apply for the FILC Player Scholarship. Financial assistance is available. FILC will send you a short scholarship application form.

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