Doc's NYC Lacrosse On-Line CoachesRegistration Form

Welcome to the coaches' registration page. We are asking all coaches to register and provide contact information. All coaches must be registered with US Lacrosse (membership page of US Lacrosse. If you are not a member, please let us know.

Instructions

1. Fill out the form. Please double check all phone numbers and email addresses.

2. Click "Submit Form" only once when you are ready to submit the form.
A confirmation page will be generated.

Please complete the following information:

First Name

Last Name

Street Address

City

State/Province

Zip/Postal Code

Home Phone

Mobile Phone

E-mail

Sex Male Female

College / University

US Lacrosse Membership number

Please indicate the team you will be coaching:

Team

Please indicate whether you want a CityLax email account and if you wan to autoforward messages to the above email address.

CityLax Email? Yes No

Autoforward email? Yes No

Coaches can have an email account through CityLax, if they wish. This would enable them to receive emails without giving out their personal account. It also enables coaches to separate lacrosse emails from others. If they wish, All messages to the CityLax account can be automatically forwarded to a different email address

First Name
Last Name
Street Address
City
State/Province
Zip/Postal Code
Home Phone
Mobile Phone
E-mail

Sex	Male Female
College / University
US Lacrosse Membership number

CityLax Email?	Yes No
Autoforward email?	Yes No

Doc's NYC Lacrosse On-Line CoachesRegistration Form

Author information goes here.Copyright © 2004 DocsNYCLacrosse. All rights reserved. Revised: 10/28/10

Author information goes here.
Copyright © 2004 DocsNYCLacrosse. All rights reserved.
Revised: 10/28/10