The U13 roster is full.
Any additional U13 registrations will be waitlisted until we have enough players to start a second team. If you have any questions please email info@springgrovelacrosse.org.
Are you registering for a Boys or Girls team Boys Girls *
Grade Please Select 1st 2nd 3rd 4th 5th 6th 7th 8th 9th *
Player Birth Date (mm/dd/yyyy) *
Level
Fee
Player First Name *
Player Last Name *
Phone Number *
Player Address *
Name
Email (our primary form of communication) *
Cell Phone
Does parent have same contact info as player? Yes No
Address
Phone
Would you like to add another parent/guardian? Yes No *
Email (our primary form of communication)
Emergency Contact *
Relationship *
Home Phone *
Cell Phone *
Player's Physician/Address/Phone *
Special Health Conditions/Concerns
Medications
Health Insurance Company *
Health Insurance Group Number *
Health Insurance Policy Number *
The Spring Grove Lumberjax is a volunteer organization and all families are expected to volunteer. Â Please select the Volunteer Options below that you are interested in.
A donation of $50 may be made if you do not wish to volunteer. Â Â
Field Maint/Lining
Tournament Set Up/Clean Up
Snack Bar
Team Rep
I would like to opt out of volunteering and I will make a $50 donation
*I, the parent/guardian of the above named player, give permission for him/her to participate in the Spring Grove Lumberjax Lacrosse practices, meets, and activities. My child is in satisfactory health to participate in these activities. I understand that there is a risk of injury or accident involved in these activities and will not hold Spring Grove Lumberjax Lacrosse, its coaches, officials, officers, or other
team or league members liable should this occur.
I have read and agreed to the statement above *
Signature *
Initials
Player First Name
Player Last Name
Amount Due
Please Enter Text From the Box
Thank you for registering with the Spring Grove Lumberjax
Please go to www.sglax.org/store to complete your registration. Â From the Lumberjax Store you can either make your payment online or print a payment by mail receipt.
Board MeetingPostponed to Tue 5/15/12 7:00pmSpring Grove Area Community Room 307Meetings are open to all club membersCome out and support the club!
PO Box 93Spring Grove, PA 17362
