2021 Laxpalooza Midwest Summer Classic Team Registration

Important Information:
Team registrations will NOT be held without a minimum $250 deposit. You may send deposits via PayPal after completing your registration.

Deposits and Payments are non-refundable.

Team Name *

Head Coach

First Name *

Last Name *

Email Address *

Street Address *

Address Line 2

City *

State / Province *

Postal Code *

Country *

Phone xxx-xxx-xxxx *

Cell Phone xxx-xxx-xxxx *

Program Director

First Name

Last Name

Email Address

Division *

Leave this field blank

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Math question * 3 + 0 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.

2021 Laxpalooza Midwest Summer Classic Team Registration

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2021 Laxpalooza Midwest Summer Classic Team Registration

Player Registration