SPRING 2024 REGISTRATION
Boys Grades K to 8th
Closes 2/15/2024


COST
14U & 12U $170
10U $145 
8U $80
- Payment to be completed by Cash or Check by 2/15/2024
- PayPal Link: https://www.paypal.com/paypalme/ldyouthlax
- Discount for Younger Siblings (14U/12U $135, 10U $115, and 8U $65)

ALL Players must have a current USA Lacrosse Membership ID prior to the first practice
- LINK ON HOW TO RECEIVE USA LACROSSE MEMBERSHIP: https://www.usalacrosse.com/membership
- Select YOUTH

If you would like to pay by check:
Payable to Lower Dauphin Youth Lacrosse/LDYL
C/o Suzi Smith
15 Harrogate Dr 
Hummelstown PA 17036

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Email *
Player First Name *
Player Last Name *
Player Date Of Birth *
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Player Grade *
Team/Age Group *
Will you need to borrow equipment from LDYL this spring? *
How Many Years Have You Played Lacrosse? *
Player School *
Player T-Shirt Size *
Player Short Size *
USA Lacrosse ID Number - Must be current at start of the 2024 Season
PHOTO CONSENT: I, the parent/legal guardian, grant my permission to use photographs taken throughout the season for any legal use including but not limited to publicity, advertising, and web content. I understand that no royalty, fee, or other compensation shall become payable to me by reason of such use.
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Street Address *
City *
Zip Code *
Parent First Name *
Parent Last Name *
Parent Email *
Parent Phone *
Additional Parent First Name
Additional Parent Last Name
Additional Parent Email
Additional Parent Phone (Emergency Contact)
Allergies
Medical Conditions
Insurance Company & Policy Number
A copy of your responses will be emailed to the address you provided.
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