KYLA Charter Sponsors
KYLA Sponsors
Kitsap Youth Lacrosse Association
2012 On-Line Registration
Instructions:STOP - READ! Fill out the player registration form for a single player at a time. After each player registration, select the Submit Registration button at the bottom of the form. You will be taken to a confirmation page. Player Information Name: Address1: Address2: City: State: XX Zip: 99999 Parent/Guardian Name: Contact Email: xxx@xxx.com Home Phone: xxx-xxx-xxxx Cell Phone: xxx-xxx-xxxx Birth Date: 99/99/9999 School: Grade: Select Grade 3 4 5 6 7 8 Team: Select Team Boys 5/6 Boys 7/8 Girls 3/4 Girls Developmental Emergency Contact Name: Emergency Contact Phone: xxx-xxx-xxxx Do you accept the KYLA Liability Form?:Yes Do you accept the Concussion Awareness Document?:Yes
STOP - READ!
Fill out the player registration form for a single player at a time. After each player registration, select the Submit Registration button at the bottom of the form. You will be taken to a confirmation page.
Player Information
Name:
Address1:
Address2:
City:
State:
Zip:
Parent/Guardian Name:
Contact Email:
Home Phone:
xxx-xxx-xxxx
Cell Phone:
Birth Date:
School:
Grade:
Team:
Emergency Contact Name:
Emergency Contact Phone:
Do you accept the KYLA Liability Form?:Yes
Do you accept the Concussion Awareness Document?:Yes
Kitsap Youth Lacrosse Association 2916 NW Bucklin Hill RD, #207 Silverdale, WA 98383 Phone: 360-824-7115 Fax: 360-613-0785 Email: webmaster@kitsaplacrosse.com
2916 NW Bucklin Hill RD, #207
Silverdale, WA 98383
Phone: 360-824-7115
Fax: 360-613-0785
Email: webmaster@kitsaplacrosse.com
