July 24-25, 2010
Glastonbury, Connecticut
Application Form
click here for a printable copy (.doc)
The Glastonbury Lacrosse Tournament
RESERVATION/PAYMENT
Return As Soon As Possible with $800 Registration Fee ($450 for women's teams only)
(check payable to: Glastonbury Lacrosse Club, Inc.)
NAME OF TEAM: _________________________________________________________________
JERSEY COLOR: __________________________________________________________________
TEAM REPRESENTATIVE OR COACH: _______________________________________________
E-MAIL ADDRESS: ________________________________________________
ADDRESS: _______________________________________________________________________
PHONE: (H) _______________________________ (W) ___________________________________
APPROXIMATE NUMBER OF PLAYERS: _____________________________________________
COLLEGES REPRESENTED: ________________________________________________________
(Indicate Approximate Number From Each)
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
Registration Fee ($800 - men, $450 - women) ____________________ (check payable to: Glastonbury Lacrosse Tournament, Inc.)
RESERVATION/PAYMENT
Return As Soon As Possible with $800 Registration Fee ($450 for women's teams only)
(check payable to: Glastonbury Lacrosse Club, Inc.)
NAME OF TEAM: _________________________________________________________________
JERSEY COLOR: __________________________________________________________________
TEAM REPRESENTATIVE OR COACH: _______________________________________________
E-MAIL ADDRESS: ________________________________________________
ADDRESS: _______________________________________________________________________
PHONE: (H) _______________________________ (W) ___________________________________
APPROXIMATE NUMBER OF PLAYERS: _____________________________________________
COLLEGES REPRESENTED: ________________________________________________________
(Indicate Approximate Number From Each)
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
Registration Fee ($800 - men, $450 - women) ____________________ (check payable to: Glastonbury Lacrosse Tournament, Inc.)