Birthday:
(Month/Day/Year)
Player name:
Your email address:
Street Address
City
 Zip Code
Home Phone number:
 Cell Phone number:
Middle  School:
Elementary School:
Current Grade Level:
 Position(s):
Years Played:
Pro7 helmet needed:
(yes or no)
T-shirt Size:
 Shorts Size:
Parent/Gardian Info.     Father                                                             Mother
Name:

Email:

Address
(if different)

City/State
Zip Code :


Home Phone:

Cell Phone:
Please choose the team you will be trying out for.  You may check more than one team.  Type an "x" in the box
or boxes.
FCA Lacrosse NC  U-9
FCA Lacrosse NC  U-11
Once you have completed the registration form, click submit to send your registration.  
You will receive a confirmation email once your registration has been received.
Thank you!
See you on February 12th!
FCA NC Registration Online!  
All fields are required.  
Registration for U-9 and U-11 is now open!