2012 All Star Lacrosse Tournament

REGISTRATION FORM

Please Print, Complete and Return along with Payment (registration fee is $400.00 per team )))   

Date: June 2, 2012 (Raindate June 3rd)

Team Name _________________________________________

Age Group         3/4 A        5/6 A        7/8 A
(Circle one)        3/4 B        5/6 B        7/8 B   

Coach:_____________________________ 

Phone:_____________________________

Email:______________________________ 

Address:________________________________

DIRECTIONS FOR TEAM REGISTRATION

1.  Please submit 1 form for each team, with specific coaches contact information on each form.
2. Email or regular mail registration form ASAP to reserve your spot. Payment in full with roster by MAY 1st!!!
3. All teams must supply a roster* (see below) with player’s name, DOB, uniform #.  
4. The complete roster must be received by May 1, 2011.  
5. An emailed roster will only be accepted if it is in EXCEL file format in the order listed below. 

Name     DOB     Uniform #

Registration fee is $400.00 per team

By submitting this registration form to place a team in the 2012 All Star Tournament I acknowledge that I have reviewed the Nomad website – www.nomadlacrosse.com – and am aware of the rules of the tournament. I also acknowledge that each player and coach on my team is a member of US Lacrosse.