| TROJAN
LACROSSE ASSOCIATION, INC. 2011 REGISTRATION FORM |
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| PLAYER'S NAME |
AGE |
BIRTH DATE |
SCHOOL |
GRADE '11-'12 |
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| ADDRESS (INCLUDE TOWN AND ZIP) |
PHONE |
EM PH |
EMAIL |
POSITION |
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| PARENTS' NAMES |
TEAM
PLAYING FOR: U11 or U13 |
YEARS PLAYED |
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| Payment
Method (Mailing Check or PayPal online) |
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| ANY
PAYMENTS OR REGISTRATIONS NOT DONE ONLINE MUST BE MAILED TO T.L.A., INC. c/o
Jim Maisano 4 Betty Lou Lane Cheektowaga, NY 14225 REGISTRATIONS MAY BE
EMAILED (PREFERRED METHOD) TO coachingstaff@laxtrojans.com IF YOU ARE NOT
SURE OF POSITION OR TEAM WE WILL MAKE DECISION BASED ON AGE AND/OR EXPERIENCE |
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