Accommodation Form

All players participating in Wheelchair Lacrosse USA (WLUSA) events are required to wear full protective equipment, including a helmet, gloves, arm pads, and SEI-certified chest protection. Additionally, all players are required to have BOTH a lap strap and foot strap engaged and taut at all times to protect against injury and to prevent an unfair advantage.

Per WLUSA rules, reasonable accommodations can be made for players who have special needs or unique and extenuating circumstances as long as they do not fundamentally alter the sport, heighten the risk of injury to the athlete/others, or place opponents at a disadvantage.

To request an accommodation, please fill out the form below with all necessary information. WLUSA must have this form on file before competition in order to provide any accommodations.

Full Name*

Email Address*

Team Affiliation* Select your WLUSA team affiliation

Jersey Number If possible, please provide your jersey # so that we can update rosters accordingly

Accommodation Request* Please provide a description of the reasonable accommodation that you are requesting along with the primary reason for your request. You can provide as much or as little information as you feel comfortable sharing with WLUSA to help us understand your situation.

Accommodation Form

Confirmation