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Smoky Mountain Shine Lacrosse

Summer Kick Off Camp

Player First Name*

Player Last Name*

Player Email*

Player Phone*

Player Birthday*

Month

Day

Year

Player Address*

USA Lacrosse Number*

Every Shine player must have an active USA Lacrosse membership. To sign up go to www.USALacrosse.com.

Grad Year*

Position*

Goalie

Defender

Midfielder

Attacker

School*

Parent/Guardian First & Last Name*

Parent/Guardian Email Address*

Parent/Guardian Phone Number*

Is there any other information we need to know?

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