FOR MORE REGISTRATION INFORMATION: CALL THE LACROSSE HOT LINE AT (516-292-3009) (or email to Brookss@stxlacrosse.com ) FAX OR SEND THE ENROLLMENT APPLICATION (BELOW) TO: BROOKS SWEET C/O L. I. LACROSSE SCHOOL - 200 BEDELL AVE - HEMPSTEAD, NY 11550 / FAX INFO to (516-292-2816), EMAIL, OR SEND ENROLLMENT APP TO ABOVE ADDRESS.

Enrollment Application
 

TEAM NAME_____________________

TEAM REP__________________________________

PHONE#S

ADDRESS__________________________________

HM PHONE_____________________________

___________, _______ ______________

WK PHONE______________________________

CELL______________________________

EMAIL_____________________________

TEAM GRADE / S__________________

EXPERIENCE A or B Div (circle)