Submit the following form and pay online with PayPal to complete your registration.
A PayPal account is not required to pay via credit card

Must be 18 years of age or older

Players who wish to pay via check, please make payable to: Check payments may not be available for all leagues.
Please mention the appropriate league in the check's memo field.

Rules and Regulations

League

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- select - Ann ArborAnn Arbor WomenAustinBaltimoreBlacksburgBostonBoulderBuffaloBuffalo WomenBuffalo Fall BoxCharlottesvilleChicagoChicago NorthColumbusColumbus WomenDallasDenverDenver WomenFairfield CountyFort CollinsHoustonKansas CityLong IslandLong Island WomenLos AngelesMiamiNew YorkNew York WomenNew York BoxOrange CountyPhiladelphiaPhiladelphia WomenPhoenixPittsburghPortlandProvidenceRaleighSan DiegoSan FranciscoSan Francisco High SchoolSeattleSt. LouisState CollegeTeam ULAXTorontoVoorhees (NJ)Washington D.C.

Team

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Select Free Agent / TBA if your team is not yet listed or you have no preference.

Payment Method

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First Name

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Last Name

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Email

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Phone

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Address Line 1

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Address Line 2

City

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State

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Zip

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Position

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- select - Attack Midfield Defense Goaltender

Height

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'    "

Weight

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lbs.

Age

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Home Town

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T-Shirt Size

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- select - XS S M L XL XXL

Names of friends also
registering in this league

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US Lacrosse^® Member?

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Yes    No

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In proceeding to sign up online, I acknowledge I have read and agree to the terms listed in the
Release and Waiver of Liability and Indemnity Agreement, reviewed the league rules and regulations found at the top of this page and am at least 18 years of age.

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In proceeding to sign up online, I also consent to the use of my image, voice or both for fundraising, advertising, publicity or any other purpose as outlined in the Photo/Video/Audio Consent Form.

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