Girls Lacrosse Clinic Girls Lacrosse Clinic Player Name*You can register more than one child. List one player here and remaining players below with grades.Grade*School*US Lacrosse NumberNot mandatory. If registering multiple children who have numbers please enter their initials after the number.Parent Name*PhoneEmail* Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Number of Attendees Price: $100.00 Quantity: Cost is $100 per playerNames of PlayersIf registering more than one child please list all names of players. Include their grade too.Total $0.00 How would you like to pay?*Credit CardPayPalIf you chose to pay by Check: Please write the check out to ARHS Boosters for the amount listed above and mail it to: P.O. Box 303 Northborough, MA 01532Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name CAPTCHA
