TROJAN LACROSSE ASSOCIATION, INC. 2011 REGISTRATION FORM
         
PLAYER'S NAME AGE BIRTH DATE SCHOOL GRADE '11-'12
                   
ADDRESS (INCLUDE TOWN AND ZIP) PHONE EM PH EMAIL POSITION 
                   
PARENTS' NAMES TEAM PLAYING FOR: U11 or U13 YEARS PLAYED
     
Payment Method (Mailing Check or PayPal online)  
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