2019 Fall / Winter Tryout Registration Email Player Information Player's First Name * Player's last Name * Player's email * Player's Phone * Player's Birthday * MM/DD/YYYY Player's High School Grad Year * 2020 2021 2022 Gold 2023 2024 2025 2026 Player's Position * Attack Midfield Defensive Midfield Fogo LSM Defense Goalie College Commitment Player's US Lacrosse number * Player's Primary Insurance * Player's Primary Physician * Physician Phone Additional Player Information Other club teams Parent Information Parent 1 First Name * Parent 1 Last Name * Parent 1 Phone * Parent 1 email * Parent 2 First name Parent 2 Last Name Parent 2 phone Parent 2 Email Address Address 2 Emergency Contact Name Emergency Contact Number Emergency Contact Email *Either mail a check for $25 to Kevin Cooper at 293 Chapalita dr. Encinitas, Ca 92024 or Kevin-Cooper-8 on Venmo
