Black Star WINTER 2022/23 FIELD Lacrosse Registration Form

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Welcome to the Black Star Lacrosse Club!

To accept a team position with Black Star Lacrosse Club (BSLC) requires commitment. This commitment flows in two directions: 1) the team commits to you, the community, and your development; 2) you commit to the team values and responsibilities to represent the Club and the community. Therefore, as part of the registration process, we want you to understand the benefits and obligations associated with being on a BSLC team.

Please initial the Player Agreement, Parent/Guardian Agreement, Coach Agreement sections below to acknowledge your understanding of these expectations, then electronically sign by typing your full name.

Go Black Star!

Email *

Player #1 First & Last Name *

Player #2 First & Last Name

Player 3 First & Last Name

Player 4 First & Last Name

Player #1 Date of Birth *

YYYY

Player# 2 Date of Birth

YYYY

Player #3 Date of Birth

YYYY

Player #4 Date of Birth

YYYY

Player(s) Allergies or Special Accommodations?

Did the child(ren) play last season?

Yes

Another Team

Clear selection

If not Black Star, name of previous team

Clear form

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