Timekeeper Clinic Registration form

Registration Form
Box Lacrosse Timekeeping clinic
Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
All Timekeepers are paid by e-transfer twice per season. Please indicate below which method of e-transfer you prefer.
E-transfer preference*

Phone numberemail

Are you a first time timekeeper?*

YesNo
If you answered no to the above question, how many years have you been a timekeeper?

Registration Form