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Averill Park Youth Lacrosse Club
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2024 APYL Grade 1-6 boys and girls registration
Players 2023 US Lacrosse Number:
*
Player's First Name:
*
Players Last Name:
*
Gender:
Male
Female
*
Date of Birth:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
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
31
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
*
Home Email Address -PLEASE take care when entering-:
*
Street Address:
*
City:
*
State:
*
Zip code:
Country:
*
Parent/Guardian Last Name:
*
relationship to player:
parent
guardian
*
Parent/Guardian First Name:
*
Parent/Guardian phone:
*
guardian email:
*
Home Phone # to reach Parent/Guardian:
*
US Lacrosse Enrollment Form & Member Agreement:
I have read and agree to the US Lacrosse Enrollment form & member agreement in the handouts section of this website
*
Medical Release:
I have read and agree to the medical release form in the handout section of this website
*
Photo Release Form:
I have read and agree to the photo release form in the handout section of this website
additional comments:
*
School Grade level of Play:
Grade 1 & 2 Boys and Girls (lax stick only / no equipment required)
Grade 3 & 4 Girls (lax stick and goggles only required)
Grade 3-4 boys - Full equipment needed
Grade 5 & 6 Girls (lax stick and goggles only required)
Grade 5-6 boys - Full equipment needed
*
Player T-Shirt Size:
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
*
Player Jersey Size:
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
*
Player Short Size:
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
* indicates required fields
SELECT FEE
$75.00 - Grade 1-2 boys and girls Saturday only
$175.00 - Girls Grade 3-4
$175.00 - Boys Grade 3-4
$175.00 - Girls Grade 5-6
$175.00 - Boys Grade 5-6