July 23-24, 2011
Glastonbury, Connecticut
Application Form
click here for a printable copy (.doc)
The Glastonbury Lacrosse Tournament
RESERVATION/PAYMENT
Return As Soon As Possible with $825 Registration Fee ($500 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 ($825 - men, $500 - women) ____________________ (check payable to: Glastonbury Lacrosse Tournament, Inc.)
RESERVATION/PAYMENT
Return As Soon As Possible with $825 Registration Fee ($500 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 ($825 - men, $500 - women) ____________________ (check payable to: Glastonbury Lacrosse Tournament, Inc.)