KCYLL Youth Jamboree
Event Details:

Sunday, March 4th at Swope Park. All players will receive three 25 minute games.

Times will be announced prior to the weekend.

For TEAM Registration, please call Brandon (314) 956-7784 or Jay (913) 909-9436 for more details

Individual Registration

Players First Name *
Your answer
Players Last Name *
Your answer
Position Played *
If you have a preferred position, please list one.
Age Division *
We will group individuals together with their teammates
Spring Club *
If your child has played in the spring season, please list which club he/she played with
US Lacrosse Number (liability Insurance) *
Visit (http://www.uslacrosse.org) to look up or register
Your answer
Parent/Guardian Information

Parents Full Name *
Your answer
Parents Email *
Your answer
Address *
Your answer
City, State, Zip *
Your answer
Parents Phone # *
Your answer
Emergency Contact
In case you can not be reached in an emergency
Your answer
Emergency Number
Your answer
Player Waiver *
We hereby give consent for my child to participate in the KCYLL Jamboree. We release and hold harmless KCYLL and its affiliates in the event of any injury sustained to my child through the routine course of practice/game play. Parent agreement below stating the acknowledgment and agreement of the statement above.
Registration Almost Complete
Please mail in your $25 cash or check payable to "KC Heartland Lax Club" to the address below:

KCYLL Jamboree
4651 Indian Creek Pkwy
Overland Park KS 66207

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