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2011 COLLEGE VARSITY LACROSSE DAY REGISTRATION
First Last
Email T-Shirt Size: S – M –  L – XL
Cell Phone Home Phone
Address City
State Zip
Year in School School
Years Played Position
US Lacrosse Number – (Not Mandatory But Encouraged)
US Lacrosse EX Date -(Not Mandatory But Encouraged)
Additional Info:
Parent’s/Guardian Name Cell Phone
Emergency  Contact other than the Parent above Name
Relation: Cell Phone
I acknowledge that I have read and accept the NorCal Waiver of Liability.
Payment for Varsity Lacrosse Day will come up upon submission.