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Black Widow Lacrosse NYC
Registration Fall 2024
SEPTEMBER Thursday and Sunday
OCTOBER AND NOVEMBER Tuesdays and Sundays
From September 5,2024 to November 17,2024
Player First name
Player Last name
Player Birthday
Address: Number, Street. Apt. City, Zip Code. State
Phone
Email
Current School/college or club affiliation
T-shirt size
Short size
Pant size
Hoodie size
Parent or Guardian First name
Parent or Guardian Last name
Relationship with the player
Parent or Guardian Phone
List any medical problem or prohibition player.
Doctor to notify in emergency
Player Signature
Clear
Parent or Guardian Signature
Clear
Select a date
Player First name
Parent or Guardian First name
Player Last name
Parent or Guardian Last name
Player Signature
Clear
Parent or Guardian Signature
Clear
Select a date
I agree to the terms & conditions
Go to Checkout
Thanks for submitting!
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