2019 Summer Tryout Registration Company 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 Medium Large XL Player's Shooter Shirt Size Medium Large XL Player's Jersey Size 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 *Either mail a check for $25 to Kevin Cooper at 293 Chapalita dr. Encinitas, Ca 92024 or Kevin-Cooper-8 on Venmo
