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Registration Form Try-Outs

Registration Form

This form is required PRIOR to submitting payment for Team Try-Outs or Registration.

Download this form in PDF format.  

IMPORTANT: 

Log on to www.uslacrosse.org and click on ‘membership info.’ You will receive a confirmation e-mail with your membership number.  Players MUST have a membership number before filling out this form

Player's First Name

Player's Last Name

Player's DOB

Player's Age

Player's School

Player's Fall Grade

Player's High School Graduation Year

US Lacrosse ID Number

Previous Club Team

Upcoming GCLax Club Team:

Player's Position

Player's Strong Hand

Player's Jersey Size

Player's Shorts Size

Player's 3 Favorite Jersey Numbers

Father's Name

Father's Home Phone

Father's Mobile Phone

Mother's Name

Mother's Home Phone

Mother's Mobile Phone

Street Address

City

State

Zip Code

Emergency Contact Person

Relationship To Player

Daytime Phone

Evening Phone

PLEASE LIST ANY MEDICAL CONDITIONS THE PLAYER MAY HAVE THAT WE SHOULD KNOW ABOUT:
PLAYERS MEDICAL CONDITIONS: