Girls Showcase Registration

REGISTRATION FORM - GIRLS SHOWCASE

Please complete ALL the fields below to proceed with registration. You will then be forwarded to our payment site. Please complete all payment info, entering CARDHOLDERS info when asked for name and address.

US Lacrosse # (MANDATORY): *
Overnight or Extended-Day: *
Position: *
Year of Graduation: *
GPA:
SAT (Math/Verbal/Writing):
ACT:
First Name: *
Last Name: *
Address Street 1: *
Address Street 2:
City: *
Zip Code: *	(5 digits)
State:
Daytime Phone: *
Evening Phone:
Parents Email: *
Parents Email (confirm): *
Players Email:
Players Email (confirm):
High School Team: *
HS Coach's Email:
Club Coach's Email:
Club Team:
Honors/Awards/Statistics: