Registration Form - Tigers Summer Lacrosse Club Application 2019

Mark Armogida 914-907-9925 / Howie Rubenstein 914-659-3199

Player's Name: __________________________________

Address: _________________________________________________________________

City:_____________________________________State:_________ Zip:________

Date of Birth: ____________________

Position: _______________

Home Phone: ___________________________

Player’s Cell #: __________________________

Player's Email: __________________________

Current School: _________________________________________

US Lacrosse Membership #:___________________________________

(Players must be a US Lacrosse member…you can sign up at www.uslacrosse.org, cost is $35)

Reversible Jersey Size (Please Circle): ..........S/M..........L/XL

Shorts Size (Please Circle): ..........S..........M..........L..........XL

Parent 1 Name: ____________________________

Parent 1 Email: ____________________________

Parent 1 Cell: ____________________________

Parent 2 Name: ____________________________

Parent 2 Email: ____________________________

Parent 2 Cell: ____________________________

Please mail application and $400 deposit ASAP to hold your roster spot.

Please make checks payable to “Tiger Sports."

Send to:

Mark Armogida
9 Quincy Lane
White Plains, NY 10605