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Belleville Lacrosse Athletic Association
Spring 2026 Belleville Huron Youth (3rd - 8th) Player Registration Form
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* Indicates required question
Player's Name
*
Your answer
Player's Age
*
Your answer
Player's Birth Date
*
MM
/
DD
/
YYYY
Player's Grade
*
Your answer
Player's School
*
Your answer
Will your player need to borrow equipment?
*
NONE
Helmet
Chest Pads
Elbow Pads
Stick
Gloves
Required
Mother's Name
*
Your answer
Father's Name
*
Your answer
Mom's Cell Number
*
Your answer
Dad's Cell Number
*
Your answer
Mom's E-Mail
*
Your answer
Dad's E-Mail
*
Your answer
Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
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