FALL BALL 2020 REGISTRATION
Player First Name *
Player Last Name *
Player DOB *
MM
/
DD
/
YYYY
Address *
City *
State *
Zip Code *
School Name *
Current Grade *
US Lacrosse Membership ID (12-digits; must be current/active now through Oct 16th) *
Medical Conditions/Allergies/Medications (list all that apply; if none, list N/A) *
Parent First Name *
Parent Last Name *
Parent Address (if different from players, include City, State & Zip)
Parent Phone *
Parent Email *
Would you be willing to volunteer to assist with health and temperature screening for CDRYL? *
Required
WAIVER: Consent to Medical Treatment *
Required
WAIVER: Participation *
Required
WAIVER: Communicable Disease *
Required
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