Spring Intramural Program Registration Form

Thank you for your interest in the LMSC Spring Intramural Program. Please register your child in the form below.

WE ARE VERY DEPENDANT ON PARENTS TO VOLUNTEER TO COACH!!!
If there is a coaching volunteer associated with this child, please register that person below in the Coaching Volunteer section below.
Child's Last Name*
Child's First Name*
Address*
Street Address City State ZIP Code
Phone*
Primary E-Mail Address*
Enter Email Confirm Email
Second E-Mail Address (Optional)
Enter Email Confirm Email
Parents' Names*
Gender
- Male
- Female
- Non-Binary
Birthdate*
YYYY slash MM slash DD