Garden City 34 Lacrosse - (Garden City, NY) - powered by LeagueLineup.com

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PLAYER INFORMATION

* First Name:

* Last Name:

* Street:

* City:

Zip Code:

* Birthdate:

* Grade as of September 2026:

* Position:

PARENT/GUARDIAN #1

* Firstname:

* Lastname:

* EMail:

* Phone (XXX) - XXX-XXXX:

PARENT/GUARDIAN #2

Firstname:

Lastname:

Email:

Phone (XXX) - XXX-XXXX:

MEDICAL/EMERGENCY CONTACT INFORMATION

* Emergency Contact:

* Phone:

* Relationship to Player:

* Insurance Carrier:

* Policy #:

I/we agree with the above *

* indicates required fields

Tryout Fee for 2030, 2029 and 2028($30)

Tryout Fee for 2032 and 2031($60)