Long Island Stampede Lacrosse
"Running with the Best"

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Register for Stampede Lacrosse
You can register by filling out the form below. Print the form and mail in with your check. or, Click here to download a printer-friendly pdf application form. To view a pdf document you will need Adobe Acrobat installed on your computer. It's free, click on the logo.
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First Name
Last Name
Date of Birth
Address
City, State, Zip
Sex
Grade
Home Phone
email
Desired Position
US Lacrosse ID
Date of last physical
Insurance Company
Check here if try-out fee was already paid
Print this form and send with your check to:
LI Stampede Lacrosse
PO Box 775
Farmingville, NY 11738

Long Island Stampede Lacrosse, PO Box 775, Farmingville, NY 11738 Tel:631-885-0596    email us

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