2018 Junior Member Registration Form - East Fremantle Lacrosse Club Inc.
Welcome to Blues Junior Lacrosse for 2018!

Up to 4 juniors can be registered via this form so families with multiple junior registrations only need to fill this form out once. Please enter any new registrations first (those who did not register in 2017).

Junior registration is for all members born since 30 June 2000.

It is encouraged that members Under 18 have a Parent / Guardian fill out the Registration Form.

Please enter a parent/guardian email address to be used for general club correspondence.

Email address *
Parent/Guardian Mobile phone number *
Please add best contact phone number
Your answer
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