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Lamar Registration Information
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* Indicates required question
Player Last Name
*
Your answer
Player First Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Player's Home Address
*
Your answer
Player's Cell Phone
Your answer
Player's Email
*
Your answer
School
*
Your answer
Grade
*
Freshman
Sophomore
Junior
Senior
USLAX Membership #
*
Your answer
Exp. Date:
*
MM
/
DD
/
YYYY
Parent 1 Information - Name
*
Your answer
Home Address (if different than player)
Your answer
Parent Cell Ph:
*
Your answer
Parent Email
*
Your answer
Parent 2 Information - Name
Your answer
Parent 2 - Address - if different than player
Your answer
Parent 2 - Cell Ph
Your answer
Parent 2 - Email
Your answer
Emergency Contact - if no parent can be reached
*
Name and Phone No.
Your answer
Medical Information - Insurance Company
Your answer
Insurance Policy No.
Your answer
Group No.
Your answer
Volunteer Interests
Fundraising
Score Keeper/ Time Keeper
Concessions
Publicity - Social Media
Other:
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