Summer 2019 Team Registration Order Number 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 Team * 2019 2020 2021 Gold 2022 2023 2025 Player's Position * Attack Midfield Defensive Midfield Fogo LSM Defense Goalie Player's Shorts Size Small Medium Large XL Player's Shooter Shirt Size Small Medium Large XL Player's Jersey Size Small Medium Large XL College Commitment Please select which tournaments you are available to attend this summer 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 0
