2018 BC Summer Games Indigenous Box Lacrosse Team Tryout

Application Form


Registration Deadline: Wednesday, May 23, 2018 to BCLA Office by 4:00 PM

For more information, please E-Mail: dave@bclacrosse.com

Player Application Form

C O N T A C T     I N F O R M A T I O N

Player First Name

Player Last Name

Parent/Guardian First Name

Parent/Guardian Last Name

Street Address


Postal Code


Email Address

Phone (Home)
(xxx) xxx-xxxx

() -

Phone (Work)
(xxx) xxx-xxxx

() -

Phone (Cell)
(xxx) xxx-xxxx

() -

Indigenous Decent
Optional: For Indigenous Team Participation

C U R R E N T     P L A Y E R   I N F O R M A T I O N

Name of Box Association

Zone (Click for Zone List)


Date of Birth - (mm/dd/yyyy)

(in feet and inches)
ie. 5ft. 5in.

ft. in.

(in pounds)
ie. 150 lbs.


Dominant Hand

Goaltender (Yes/No)

Player is applying for:

Security Code: