.00
.
RYQUIN
RYQUIN
RYQUIN
LACROSSE
LACROSSE
PLAYER INFORMATION
First name:
Last name:
Age:
Date of Birth:
Email address:
Note: Ryquin communicates primarily through  
email.  Our email may be new to your email
account, please check spam box.
Phone #:
Address:
Street
City
State
Zip
School:
US Lacrosse: Membership needs to be
established prior to the first team gathering.
Please type TBP for date and exp in the
meantime. (To Be Provided)
Grade:
Expiration:
US Lacrosse #:
APPAREL & EQUIPMENT
Shirt Size:
Shorts Size:
Desired Jersey #:
HEATH INSURANCE INFORMATION
Health Insurance Carrier:
Policy #:
Policy Holders Name:
PARENT/GUARDIAN
Parent/Guardian Name(s):
Phone number(s):
Parent/Guardian Name(s):
Phone number(s):
EMERGENCY CONTACT INFO
Emergency Contact:
Someone other than
Parent/Guardian listed above
Emergency Phone #:
COMMENTS
ie: Allergies, nut issues
Please mark box with your initials, stating that you have read, understand and agree:
  • to the Cancellation Policy/Terms/Additional Information
  • practice and game schedule commitment
  • players are responsible for their own transportation to and from practices and games
  • player has current US Lacrosse coverage thru the practice/games
  • a Ryquin Waiver Form will need to be signed, completed and turned in prior to any practice.
Initials:

U10 TEAM
Spring Season Fee
$175

Practices Begin: February - May 2017

Sundays,  Feb -  March 3:30-5:00pm
Tuesdays & Thursdays, Mid March - May 5:30-7:00pm
Arden Middle School - 95864
Girls are welcome to play, but in full boys equipment
Games: March - May 2017