Mini Mustangs Registration Form

2022 Mini-Mustangs Lacrosse Registration Form

Registration: $125.00 (includes 8 sessions, pinnie, shorts, custom water bottle, custom year end trophy) Payment can be E-transferred to minimustangslacrosse@gmail.com. Covid Protocols and Health Screening will be in place. **Refund Policy- Full Refund Available Prior to January 31st, 2022**
Program Location
Player Name

First NameLast Name
Parent Name

First NameLast Name
Would you like to volunteer as a coach or manager? (Criminal Record Check Required)
Do you require lacrosse gear? Gear packages available for $100.00 includes lacrosse stick, gloves, arm pads, shoulder pads. All equipment comes in xxs “peanut size” **does not include sports helmet**
Contact E-mail
Contact Phone Number

Area CodePhone Number
Player Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Player Birth Date:

MonthDayYear
Where did you hear about us?
Health Issues/Allergies, Please note below:
Thank you for registering! We will contact you in a couple weeks.
Should be Empty:

2022 Mini-Mustangs Lacrosse Registration Form