Liberty Girls Lacrosse Club
Player Information Sheet
Spring 2004
Name: ___________________, __________________
Last First
Email: __________________________@______________________
Phone: Home _______________ Cell _________________
Address: __________________________
__________________________
Age: ___ Year in School: ________
Presently attends what school: __________________
Other Sports This Year: _____________ _____________ ____________
Parents’/Guardians FULL Names: __________________and _____________________
Parents’/Guardian phone: Home___________ Cell ____________ Cell _____________
Parents’/Guardian Email ________________________ _________________________
Secondary Emergency Contact: Name __________________ Phone _______________