SCLC - Summer Club Lacrosse - GIRLS 2018 Sign Up (Grades K-7)
All Prospective Members Fill In This Form. Developmental Players Are Not Required To Attend A Try Out.
NOTE - GIRLS Tryout is Sun. Nov. 12th @ 3:00-4:15 PM at Halderman Field
Player First Name *
Your answer
Player Last Name *
Your answer
Street Address *
Your answer
City *
Zip Code *
Home Phone *
XXX-XXX-XXXX
Your answer
Springfield School District? *
School Attending *
Your answer
Current Grade (HS Graduation Year) *
Date of Birth *
EX: 10/21/2003
Your answer
Parent #1 Name *
Your answer
Parent #1 Cell # *
XXX-XXX-XXXX
Your answer
Parent #1 e-mail *
Your answer
Parent #2 Name *
Your answer
Parent #2 Cell # *
XXX-XXX-XXXX
Your answer
Parent #2 e-mail *
Your answer
Medical Conditions, Allergies, etc.? *
Pediatrician Name *
Your answer
Pediatrician Phone # *
XXX-XXX-XXXX
Your answer
Tryout Preference *
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