2025 FALL LAKERS REGISTRATION

Please fill out the information below

* Indicates required field

Players Name *

First

Last

Player is Trying out for: *

3-4 Grade Girls Lakers 7-8 Grade Girls Lakers 3-4 Grade Boys Lakers 5th Grade Boys Lakers 6-7 Grade Boys Lakers 8th Grade Boys Lakers

Players Age *

DOB mm/dd/yyyy *

Players Grade (25-26 school year) *

3 4 5 6 7 8

Jersey Size *

YS YM YL AS AM AL AXL A2XL

Parent/legal guardian Name *

First

Last

Primary Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Please list any medical conditions that we should know about *

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