Lax Shoot Out

TEAM NAME _________________________________________  COLOR ____________________________
PARENT ORGANIZATION __________________________________________________________________
COACH/CONTACT ________________________________________________________________________
ADDRESS_______________________________________________________________________________
CITY/STATE/ZIP __________________________________________________________________________
PHONE  H) _______________________ W) ________________________ FAX) _______________________
E-MAIL _____________________________________________

TOURNAMENT
	_____REC	_____HS	Tournament are on separate dates	
LEAGUE	_____MALE	_____FEMALE
					
COMPETITION	_____A LEVEL	_____B LEVEL
	For Scheduling purposes only	
AGE GROUP	_____7-8	_____9-10	_____11-12	_____13-14	_____15-16	_____17-18	

Roster Maximums: Rosters are unlimited, however only 12 awards will be presented per team.
Remember, all coaches must be prepared to present proof of age at any time during the tournament.
Return completed form with registration fee payable to:

Lax Shoot Out
c/o 11022 Reisterstown Road
Owings Mills, MD  21117