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NEW VISTA 2028 LACROSSE PLAYERS!!
PLAYER INFORMATION
*
First Name:
*
Last Name:
Street:
City:
State:
Zip Code:
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Player Cell Phone:
*
Player Email:
Birthdate:
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Grade:
K
1
2
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5
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Gender:
M
F
Position:
Defense/ LSM
Middie
Attack
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Player Shirt Size:
Blank
XS
Small
Med
Large
XL
XXL
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Player Short Size:
Blank
XS
Small
Med
Large
XL
XXL
Any Player Allergies or Concerns?:
PARENT/GUARDIAN #1
*
First name:
*
Last name:
*
EMail:
*
Cell Phone:
Home Phone:
Work Phone:
PARENT/GUARDIAN #2
*
First name:
*
Last name:
*
Cell Phone:
*
Email:
Home Phone:
Work Phone:
MEDICAL/EMERGENCY CONTACT INFORMATION
*
Emergency Contact:
*
Phone:
*
Relationship to Player:
WAIVER INFORMATION
I agree to receive email communications from the Vista Lacrosse program.
I/we agree with the above
Deny Any Email/ Communication
Be sure to activate authorization for text alerts and email communications in your profile setting for all members of your household!
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