Tri-City Lacrosse

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Renew/Enroll in the US Lacrosse insurance program.

Tri-City Lacrosse requires US Lacrosse insurance for all players. Renew or enroll in the program here.

NOTE: Players from the Utica/Rome area should enter "Tri-City Lacrosse" for the US Lacrosse Chapter. Also, take note of your US Lacrosse ID. This number needs to be entered on the form below. Print out your completed insurance form and bring it to your try-out (new players) or first scrimmage or game (returning players).

You can't participate in a Tri-City Lacrosse event without this insurance.

Complete and submit the following entry form.



		Personal Information	Privacy Policy

		First Name*
		Last Name*
		Date of Birth*

		*Required fields.



		Contact Information

		Address*
		City*
		State*
		Zipcode*
		Primary Phone*
		Secondary Phone
		Email Address*

		*Required fields.



		Lacrosse Information

		US Lax Insurance ID*
		Experience*	None High School College Club

		Position*	Middie Middie-Defense Middie-Faceoff Attack Attack-Crease Goalie Defense

		Years Exp.*	0-5 6-10 10-15 15+

		Team**
		Re-enter Draft**

		Required fields, *Current players.