League Information

General

Takes Place At: The Brownson House


Start Date: Information up coming


End Date: Information up coming


Age Group

Up coming


Registration Fee: Information up coming 


Admission Fees (per game): N/A

Schedule
Contact

If you have any questions or would like more information please contact Jon Celani at 724 222-1440 or via email at joncelani@gmail.com

Registration Info

You can register for any Brownson House Program in three different ways:

  1. Register in Person – Print out and bring in a completed registration form during registration period for the program you wish to participate in. If there are any applicable fees, please be sure to bring the appropriate amount with you.
  2. Register by Mail – Print out and mail in your completed registration form during the registration period for the program you wish to participate in. Be sure to include a check to cover the costs of the program you are registering for.
  3. Register Online – Please fill out the online form and submit. Then bring the payment with you to the game or mail it to:   The Brownson House Inc.   1415 Jefferson Avenue Washington, PA 15301.
RegistrationForm

Registration Form Summer Session 2015

Name_____________________   Age________   Date of Birth____/____/____

Street Address_________________ City____________________ State/Zip_____

Phone Number (Home) ______________ Phone Number (Cell) ______________

Male (  ) Female (  )     Grade   Youth K- 5 (  ) Middle School 6-8 (  ) High School 9-12 (  ) Collegiate/ Post-Collegiate (  )

Experience level: Beginner(  ) 1-2 years (  )3-4 years (  ) 4 years+ (  )

I have listed (on the reverse of form) any known Medical Condition(s) and Physician-prescribed medication(s) of the above named player and attest the player is medically insured, and should player be injured, emergency medical treatment and any necessary transport to a medical facility is authorized.

Todays Date____/_____/_____

Parent/Guardian Signature


Player_________________________________

Online Registration
Lacrosse
  •   Yes
      No
  • We will try to accommodate your coach or teammate requests but can make no promises.
  • By submitting this form I hereby, for myself, team members, heirs, executors and administrators, waive and release any and all rights and claims for damages I may have against the Brownson House and/or Vernon C. Neal Sportsplex, staff members and other persons working for the league for any and all injuries and losses which may be suffered in connection with competition in the league.