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HECK YA, I AM READY TO REGISTER
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Please "X" the team you are registering for
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Team:
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Practice Squad:
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First Name:
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Last Name:
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Join or to look up membership # go to
www.uslacrosse.org
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US Lacrosse #:
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Expiration:
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ie: 12/31/2019
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Position:
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midfield, attack, defense, goalie, etc.
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Date of Birth:
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ie: 12/31/2008:
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School:
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Grade:
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Email:
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Phone #:
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Street:
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City:
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State:
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Zip:
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PREVIOUS TEAM
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Summer/Spring Team:
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If Applicable
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Played for Ryquin Previously:
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Yes or No
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How did you hear about Ryquin?
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TEAM APPAREL
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Please select using the following sizes only.
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I am ordering a sweatshirt
with my registration.
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T-Shirt/Jersey Size:
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YOUTH:
YS, YM, YL
ADULT:
AS, AM, AL, AXL, A2XL
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Sweatshirt Size:
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Desired Jersey #:
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I'd like to order extra
"fan" sweatshirts:
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Short Size:
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Yes or No
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PARENT/GUARDIAN INFORMATION
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Parent 1 Name:
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Phone #:
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Email:
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Parent 2 Name:
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Phone #:
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Email:
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EMERGENCY CONTACT
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Emergency Contact:
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Relationship:
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Phone#:
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HEALTH INSURANCE INFORMATION
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Health Insurance Carrier:
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Policy #:
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Policy Holder's Name:
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ADDITIONAL INFORMATION
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Comments:
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CANCELLATION POLICY: All fees paid are non-refundable, so please understand the depth of your commitment to the Girls
Team for Fall 2019.
Please mark box with "X" stating that you have read, understand and agree to:
- Cancellation Policy
- Practice schedule
- FULL tournament(s) participation is REQUIRED
- Players are responsible for their own transportation to and from practices
- Ryquin will provide assistance on tournament travel planning, however individual travel costs are the player/family's
responsibility.
- Player has current US Lacrosse coverage thru the practice/tournament.
- A Ryquin Waiver Form will need to be signed, completed and turned in prior to any practice/tournament.
- Should a tournament be cancelled for any reason, players may be held to a $100 fee to cover practices, coaches, apparel
and preparation for the tournament.
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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I have read, understand and agree.
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PLEASE NOTE: Please review all information.
Once you hit CONTINUE, you will not be able to make changes. Your registration form will be sent to Ryquin Lacrosse and you
will then be directed to the Ryquin's PayPal payment page.
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