Missouri Scholastic Lacrosse Association
News
(REGISTRATION)
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Players Name First Last Position (Circle One)
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Address City State Zip
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Date of Birth Age Sex
Shirt Size in Mens (Circle One) S M L XL
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Home Phone Email Address
Method of Payment (Circle One) Cash Check
X____________________________________ Rate is $85.00. Please send deposit for $35 by November 8, 2002.
Parent Signature
