July 23-24, 2011
Glastonbury, Connecticut

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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)

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Registration Fee ($825 - men, $500 - women) ____________________ (check payable to: Glastonbury Lacrosse Tournament, Inc.)