TROJAN LACROSSE ASSOCIATION, INC. 2008
Player's Name        
Age        
Date of Birth    
School Attending        
Grade in School 08-09  
Parent's Name        
Address        
City        
Zip        
Phone    
Parent Email          
Emergency Phone    
Circle Team  9U 11U 13U 15U 17U
Circle Position Goalie Defense Attack Middie
Circle Payment Amount 9U Team = $100 11U, 13U, 15U, 17U =  $120
Please make checks payable to Trojan Lacrosse Association or T.L.A and mail to T.L.A c/o Jim Maisano          75 - 4 Carriage Drive Orchard Park, NY 14127
IF EMAILING REGISTRATION INDICATE IN EMAIL WHAT TEAM, POSITION AND PAYMENT AMOUNT