Player Registration
Please fill out for each player
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Email *
Player Name *
Player Address *
Birth Date *
MM
/
DD
/
YYYY
Contact Phone Number *
Current Grade *
Graduation Date *
MM
/
DD
/
YYYY
Parent(s) Name(s) *
Parent(s) Contact Number(s) *
Parent(s) Email(s) *
US Lacrosse Number *
Jersey Number *
Please Check for all Borrowed Equipment *
Required
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