Registration — Bay Area Lacrosse

Bay Area Lacrosse Registration

** 12U & 14U near capacity, please contact via email about availability/waitlist **

*PLAYERS MUST BE USA LACROSSE MEMBERSHIP REGISTERED (Players 7-14, $35 paid on USA LACROSSE WEBSITE http://www.usalacrosse.com/membership)

Players Name

First Name

Last Name

Address

City

D.O.B

School

Grade

Jersey Size

Short Size

Paid

Team

How many years?

Fathers Name

Father's Number

Fathers Email

Mothers Name

Mothers Number

Mothers Email

US Lacrosse Number

First Jersey Number Choice

Second Jersey Number Choice

Third Jersey Number Choice

Player Digital Signature

Parent Guardian Signature

Date

Emergency Contacts & Medical Conditions