Wylie Lacrosse Club

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Wylie, TX

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Wylie Lacrosse 2010 Registration

Player Information

Player Name

Address

City

Zip Code

Cell Phone

Home Phone

Date of Birth

School

Grade

Returning?

Lacrosse Experience

US Lacrosse Membership #

USLacrosse Expiration Date

Parent Information

Father Name

Father Cell #

Father Work #

Father Email

Mother Name

Mother Cell #

Mother Work #

Mother Email

Volunteer Committees

Fundraising Committee
Site Coordinator/Field Committee
Publicity Committee
Equipment & Uniform Committee
Travel & Tournament Committee

Emergency Contact Information

(Who to contact if parents cannot be reached)

Name

Relationship

Cell

Home

Work

Medical Information

Doctor's Name

Phone

Health Ins. Co

Policy #

Preferred Hospital

Drug/Food Allergies

Medical Conditions

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Wylie Lacrosse Calendar

September 2010

Mon	Tue	Wed	Thu	Fri	Sat	Sun
		1	2	3	4	5
6	7	8	9	10	11	12
13	14	15	16	17	18	19
20	21	22	23	24	25	26
27	28	29	30

Lacrosse News & Events

Lacrosse Poll

Who Will Win the 2010 College Lacrosse Championship?

	Johns Hopkins
	Virginia
	Syracuse
	Duke
	Princeton
	Ohio State University
	University of Delaware
	Texas Tech