METACOMETS SELECT LACROSSE TEAM TRYOUT REGISTRATION Player Information Year of Graduation First Name: Last Name: Parent/ Guardian's Full Name: Parent/ Guardian's Full Name: Address: City: State: Zip Code

Contact Detail Home Phone Number: Cell Phone Number: Primary Email Address (This should be one that is checked daily and will be printed on roster) Secondary Email Address (This will be used as backup only for administrative email)

Player Detail Date of Birth (mm/dd/yy) US Lacrosse # Expiration Date (mm/dd/yy) School Name Position Years Experience Athletic Highlights Other Sports, awards

Is this your 1st time trying out for the Metacomets Select Lacrosse Club? ( ) Yes ( ) No Please make check of $25.00 to "METACOMETS SELECT LACROSSE CLUB"