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Prince George's Lacrosse Family Registration Form -- Supplement to US Lacrosse League Registration Form |
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Player's Name: _____________________________________ Date of Birth: _____________________________________ |
Team Level -- Bantam (1999 & Younger) -- PeeWee (1997-1998) -- Midget (1995-1996) -- Junior (1993-1994) |
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Player's Name: _____________________________________ Date of Birth: _____________________________________ |
Team Level -- Bantam (1999 & Younger) -- PeeWee (1997-1998) -- Midget (1995-1996) -- Junior (1993-1994) |
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| Family Cell Phone(s): |
Mother:
_______________________________ Father: _______________________________ Player: _______________________________ |
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| Registration Fees: |
$50 -- 2008 PG Registration Fee $20 -- US Lacrosse Club Fee |
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| Bantam Instructional League: |
$30 |
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| Use Fee: |
$20 -- Helmet $30 -- Gloves and Pads |
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TOTAL |
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