Return to the Main US Lacrosse Site

US Lacrosse New Start Application

 
US Lacrosse New Start Application

US Lacrosse New Start Program Application

This form must be filled out completely in order to receive a kit. Please do not leave anything blank or your application will not be processed.

New Team/Organization Name:
Affiliated with an existing organization?
If yes, please list.		 Yes No
New Start Applicant/Contact Person:
(must be a member of US Lacrosse over 18)
Applicant's/Contact's US Lacrosse Membership Number:
(sign up online before submitting this application if not yet a member)
Coach's Name:
(if different than Contact)
Applicant's/Contact's Full Mailing Address
(Sorry, unable to ship to PO Boxes)
Street Address:
City:
State:
Zip Code:
Home Phone Number:
Work Phone Number:
Fax Number: (optional)
Email:
Shipping Name and Address, IF DIFFERENT THAN ABOVE
(Sorry, unable to ship to PO Boxes)
Street Address:
City:
State:
Zip Code:
Is the shipping address a: Business Residence
Please allow a minimum of two (2) weeks from the time your application is received to receive your New Start kit.
Age of participants: Youth (15 & under)
High School (16-18)
Collegiate
Post-Collegiate
Please select one Club Official School Program
Number of participants in new program:
Select Program Type: Boys Girls Coed
Choose One Free Rule Book: Women's (includes college, high school & youth rules)
Men's NCAA (includes college rules)
Boys' NFHS (includes high school and youth rules)
Describe the lacrosse program you wish to initiate - What are your initial goals?
Are you starting a multi-team league? Yes No
Will all your program participants be members of US Lacrosse? Yes No
Will the insurance offered as part of US Lacrosse membership serve as the program's principal insurance? Yes No
If not, how is the program covered?
Would you like a US Lacrosse Letter of Support? Yes No
Email additional information to sportdevelopment@uslacrosse.org if in need of something other than a general letter about the growth of opportunities associated with lacrosse.

 



RETURN TO US LACROSSE WEB SITE