ZappSports
Registration
Event Details
Register here for Jacksonville Lacrosse Club's:
2012 Summer Elite Travel Program Try Out's
North Florida Winter Lacrosse League
iPRO Training Camp Dec. 17, 18, 19
Select your Event:
Select an Event...
High School Summer Elite Travel Program Try Outs ($50.00)
2012 Summer Elite Travel Tuition Down Payment ($100.00)
Player Info
First Name:
*
Last Name:
*
Address 1:
*
Address 2:
City:
*
State:
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FL
Zip Code:
*
Player Details
Date of Birth:
*
Current Grade:
*
Select...
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
College
School Name:
*
Played last Year?:
*
Select...
Yes
No
Desired Positions:
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GK
A
M
D
Years Played:
*
Select...
0
1
2
3
4
5
6
7
8
US Lacrosse #:
Medical Conditions
Special Instructions / Requests for Player
Parent / Guardian 1 (Primary)
First Name:
*
Last Name:
*
Email Address:
*
Home Phone:
*
Work Phone:
Mobile Phone:
Parent / Guardian 2
First Name:
Last Name:
Email Address:
Home Phone:
Work Phone:
Mobile Phone:
*
I / We, understand this payment is non-refundable.
*
I / We, being a parent or legal guardian of this Player, understand and accept the risk of injury is possible while playing the sport of lacrosse. I authorize the directors to act for me according to their best judgment in any emergency requiring medical attention. I/We also agree that no Jacksonville Lacrosse Club employee/representative/contractor is liable for Players' medical or dental expenses incurred as a result of participating in this program.
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