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Spring 2010 Registration

 


 

  Lacrosse Program Boys   Girls
     
  Lacrosse Category U09     U11     U13     U15
     
  Player's First Name
  Player's Last Name
  Birth Date
  Current Grade
  Current School
  What HS will he/she attend?
  Previous Lacrosse Experience
  * US Lacrosse Number
  Expiration Date
     
  Home Address
  City
  Zip Code
     
  Home Phone
  Email
     
  Mother's Name
  Mother's Cell Phone
     
  Father's Name
  Father's Cell Phone
     
 

I would like to volunteer as an assistant coach, team parent,

or program administrator (uniforms, spirit wear, website, fields, etc.).

Yes     No
     
  Player's Jersey Size Youth M Youth L    
    Adult S Adult M     
    Adult L Adult XL    
           
  Player's Short Size Youth M Youth L    
    Adult S Adult M     
    Adult L Adult XL    
           
  Additional information that would be helpful for us to know

                                                                                            


* All players must have a US Lacrosse membership for insurance coverage.  Please visit www.uslacrosse.org and register for Youth Membership for $25.  This fee in NOT included in your Jr. Greyhounds registration.

www.jrgreyhoundlax.com