Champion Lacrosse Printable Reigstration Form
Please Read Carefully - this is NOT online registration.  To register online with a credit card, see the link on the left.  This printable form is for use when mailing in a registration.  Enter the following information by tabbing through this page - or print this page blank and fill it in by hand.   Once you have completed the fields, hit the Print This Page button on the bottom.  The page will print, and you can mail it or bring it to us with your check.  If you are definetly going to register, hit the Submit button last.  We will enter your information in our database, but your spot will not be reserved until we receive payment.
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Instructional Online Registration
Last Name
First Name
player mail
parent email 1
parent email 2
Address
City
Zip
Area Code and Phone
123-4567 (Please enter the dash)
Grade
Birth Date (mm/dd/yy)
12=2004, 11=2005, 10=2006, 9=2007, 8=2008, 7=2009, 6=2010, 5=2011, 4=2012, 3=2013, 2=2014, 1=2015, K=2016
HS Graduation Year
Positions
School
Which Session (s)
Program
This is for instructional students who have selected a class/league package.  Enter the additional program here.
2nd Program (Package Sdudents Only )
Instructional Class $150
Instructional/Youth League $150
Package - Class & League $210
Middle School, High School, Adult Leagues $140
                             Jersey Deposit for Leagues $20
Payment Amount
Additional Notes or Information for Champion Lacrosse
Do This For Sure--->
Do This Next If You Are Definetly Registering--->
Mail this form and your check payable to "Champion Lacrosse" to 30800 Telegraph, Suite 3833. Bingham Farms, MI 48025.