Middlebury Youth Lacrosse Club

Program Name

Primary Contact

Email Address   

Phone Numbers - Home   Cell
 

Team Name  
(this name will be made available to pint on t-shirts and hoodies from a third party vendor at the GMSO)

Boys:  U-11     U-13     U-15
Girls:   U-11     U-13     U-15

Saturday & Sunday ($250.)        Saturday only ($125.)        Sunday only ($125.)

Coach Name   

Email Address 

Phone Numbers - Home    Cell