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I am officially registering for the
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Tahoe Lacrosse Tournament ONLY
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All West Showcase ONLY
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Both Tournaments
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PLAYER INFORMATION
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First name:
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Last name:
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US Lacrosse #:
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Exp Date:
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Graduation Year:
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Date of Birth:
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ie: Goalie, defense, attack, midfield
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Position:
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Height:
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Weight:
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Note: Ryquin communicates primarily through
email. Our email may be new to your email
account, please check spam box.
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Email address:
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Phone #:
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Address:
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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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Who did you play for during the Spring 2011 season?
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Who was your coach?
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ATHLETIC APPAREL
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Small, Medium, Large, XL, XXL
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I'd prefer a :
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Tank Top:
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Shirt Size:
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Shorts Size:
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or
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Jersey # (desired):
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T-Shirt :
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HEATH INSURANCE INFORMATION
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Health Insurance Carrier:
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Policy #:
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Policy Holders Name:
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PARENT/GUARDIAN & EMERGENCY CONTACT INFO
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Parent/Guardian Name(s):
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Phone number(s):
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Emergency Contact:
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Emergency Phone #:
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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
Cap City Select Team for 2011. For individual fees per player click here.
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Please mark box with "X" stating that you have read, understand and agree:
- to the cancellation policy
- practices are Thursday evenings from 5:30pm - 8:00pm, Phoenix Park, Field #5
- full tournament 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 Waiver Form/Emergency Contact Form will need to be signed, completed and turned in prior to
any practice/tournament
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I have read, understand and agree.
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Please note:
- Please review all information. Once you hit submit, you will not be able to make changes.
- Once you hit submit your registration form will be sent to Ryquin Lacrosse.Once you hit submit
your registration form will be sent to Ryquin Lacrosse and you then be directed to the Ryquin's
PayPal payment page.
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