2020 - 2021 EDGE Youth Fall Registration
Registration for the 2020 YOUTH FALL Season.
PLAYER NAME (First, Last) *
Date of Birth *
MM
/
DD
/
YYYY
PRIMARY FAMILY EMAIL *
SECONDARY EMAIL *
HOME ADDRESS (STREET, CITY, POSTAL) *
PRIMARY PHONE # *
SECONDARY PHONE # *
Field Position *
Primary Hand *
Team *
Required
School *
Academic Average *
Player # Request (Please list 3 options: 3, 25, 60) #00-#99
Choose Your Session *
Availability - Feel free to indicate the classes you would like to attend. If you have to make any changes, please email Brock Boyle to notify - brockboylelax@gmail.com
Payment Note
Once Payment Terms have been selected and submitted, you will receive an updated invoice with balance and payment schedule from Gord Brown (gbrown@edgelacrosse.com)
PAYMENT TYPE *
Required
CARD NUMBER *
Name as Appears on Credit Card *
EXPIRATION MM-YY *
CSV (3 digit code) *
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