What began as stickball, a Native American contest played by tribal warriors for training, recreation, medicinal and religious reasons, has developed over the years into the interscholastic, professional and international sport of lacrosse.

Lacrosse has been one of the fastest-growing sports at the high school level over the last few decades, and there is still room for much more growth. Lacrosse is an officially sanctioned state championship sport for both boys and girls in 24 states with Ohio (2017), Illinois (2018), Utah (2021), Wisconsin (2024) and Tennessee (2025) the most recent states to add the sport to their championship lineup.