LEARN TO PLAY CLINIC

FALL LEAGUE

LEARN TO PLAY CLINIC

Ages 8-14
~
Begins Tuesday, December 2
8 week program
~
$95.00 includes jersey, STX Lacrosse Stick
& and participation in pickup league from 6-7 pm.

Players must have mouthpiece and water

Lacrosse safety equipment available for student use during class.

BOYS MIDDLE SCHOOL
PICKUP LEAGUE

Begins Tuesday, December 2
8 week program
~
League Fee: $55.00
Includes game jersey

HIGH SCHOOL LEAGUE
~
Begins Tuesday, December 2
Ends Tuesday, January 20
8 game season - 40 minute games
Play will be between 7 - 10 pm
Teams should wear dark jerseys
Roster limit: 20 players
Team Fee $895.00
~
INDIVIDUALS CAN PLAY "AT LARGE"
Individual Fee: $70.00 per player

Both the Learn to Play and the Middle School Pickup League will take place at the
Vernon C. Neal Sportsplex, located at the entrance of the Washington Park, Washington, Pa.

FOR MORE INFORMATION CALL JARROTT BROGDON AT 724-GET-LAXX
OR email broglacrosse1@verizon.net

REGISTRATION FORM

Name: ____________________________________ Age: ____ Grade: ____ Phone No: _________________________

Address: ____________________________________________ City: ______________ State / Zip: _____________

_________ Learn to Play Clinic & Middle School League ($95.00)    __________ Middle School League Only ($55.00)

 _________ High School Team ($895.00)    __________ Individual playing as At Large in High School League ($70.00)

Amount Enclosed: __________  Please make checks payable to W.C.Y.L. , 3 West Berkley St., Uniontown, PA 15401

I have listed (on the reverse of form) any known Medical Condition(s) and Physician-prescribed medication(s) of the above named player
and attest the player is medically insured, and player be injured, emergency medical treatment and any necessary transport to a medical
facility is authorized in my absence.

Today's Date: _____________________ Required Parent / Guardian Signature: __________________________________________