Summer Team Registration

SoCal Summer Team Registration Form

If you are register 2 or more players, please fill out multiple forms. Be sure to click "Submit" when complete. You will see a Confirmation Page when everything was accepted.

Player Information
Name*
First Last
Date of Birth*
Date Format: MM slash DD slash YYYY
Graduation Year*
Position*
Uniform Size*
*Adult Sizes
Jersey Number (choose three)
Separate by a commas
Parent/Guardian Information
Name*
First Last
Email*
Enter Email Confirm Email
2nd Email*
Enter Email Confirm Email
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Emergency Contact #*
Notes-Please list any and all dates/practices/tournaments your child will not be able to attend.
Payment Information
Team Fee*
Price: $525.00
Payment Type*
- Check
- Credit Card (3% Convenience Fee)
Convenience Fee*
Price: $0.00
Coupon
Total
$0.00
CAPTCHA
Please make check payable to High Impact Lacrosse Inc.

Mail To:
High Impact Lacrosse Inc.
P.O. Box 1214
Yonkers, NY 10703

Please mail check within 48 hrs. of filling out the online registration form.
Billing Info
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name

Summer Team Registration

SoCal Summer Team Registration Form

Player Information

Parent/Guardian Information

Payment Information

Billing Info

RECENT NEWS