313 Lacrosse Registration Form

* Please check all that apply:
FALL - 313 LAX Club Varsity (Grades 11,12)
FALL - 313 LAX Club JV (Grades 9,10)
WINTER - First Line Lacrosse Academy Training Sessions (Grades 5-12)
WINTER - Ron Herberts Attack vs. Defense Clinic
WINTER - Ron Herberts Coaches Clinics
SUMMER - GP Select HS Summer Travel Program (HS A - Grades 10,11) (HS AA Grades 12, HS Grads)
SUMMER - GP Select U15 (Grades 7,8)
SUMMER - 313 LAX Club U17 (Grades 9,10)
Section 1 (parents only)
Parent Name(s):
Primary Parent Mobile #:
() -
**Primary Email:
**Secondary Email:
**URGENT INFO - Primary email is where all main information and updates will be sent.
Section 2 (players only)
Player Name:
DOB (MM/DD/YYYY):
/ /
HGT (ft' in"):
ft in
WGT (lbs):
Dominate Hand:
L R
Primary Position (select one):
A M DLSM G FOM DM
Home Address:
City:
State:
Zip:
Home Phone:
() -
High School:
Yeah of High School Graduation: