2024 SEASON PERMISSION TO RUN (Cambridge Minor Lacrosse)

2024 SEASON PERMISSION TO RUN

FULL NAME OF PLAYER^*

Required

PLAYERS DATE OF BIRTH^*

Required

Current Season Being Played ^*

U15
U17
U22
Highlanders JR B

Required

FULL NAME OF JR TEAM YOU'D LIKE TO RUN WITH^*

Required

EXAMPLE: SIX NATIONS JR A

WHICH LEVEL OF TEAM? A B or C^*

Required

EXAMPLE: A

EMAIL ADDRESS^*

Required

Phone number:^*

Required

Example: ###-###-####

PICK TODAYS DATE^*

Required

THIS IS FOR VERIFICATION REASONS

COMMENTS OR CONCERNS^*

Required

NAME OF PERSON COMPLETING FORM^*

Required

PARENT/GUARDIAN

APPROVED BY

WITH SIGNATURE

APPROVED ON

DATE APPROVED