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GIRLS 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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Shirt Size:
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Skirt/ Short Size:
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Jersey # (desired):
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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 Girls Team for 2011. Individual fees per player is $250, although the actual cost may vary minimally based on
the number of players and any nominal changes to quotes and/or estimates.
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Please mark box with "X" stating that you have read, understand and agree:
- to the cancellation policy
- practices are on Thursday evenings from 5:30pm - 7:30pm at Phoenix Park, Field #6
- 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 cost are the
player/families responsibility.
- player has current US Lacrosse coverage thru the tournament
- a waiver/emergency contact/info 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 and you then be
directed to the Ryquin's PayPal payment page.
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