College/University * City * State * League * - Select -MAWLLNCWLLNEWLLNWWLLRMWLLSWLLTWLLWCLLWWLLNone Division * - Select -Division 1Division 2 Level of Membership * - Select -Full Member ($400 Dues)Provisional Member ($175 Dues)Contact Information Primary Club Contact (First Name) * Primary Club Contact (Last Name) * Position on Club (Capt, Coach, Pres, etc) * US Lacrosse Member # * Mailing Address * Apt #, Room, etc City * State * Zip Code * Email * Phone Number * Secondary Club Contact (First Name) Secondary Club Contact (Last Name) Position on Club (Capt, Coach, Pres, etc) US Lacrosse Member # Mailing Address Apt #, Room, etc City State Zip Code Email Phone Number Club Information Number of Years Your Club Has Existed * Number of Players on Roster/Email List * Team Website * Team Email * Non Player Coach's Name * Non Player Coach's Email * Non Player Coach's Phone * How Many Games Does Your Team Play Each Spring? * Fall? * It is the responsibility of each WCLA member team to read and understand the WCLA Bylaws and WCLA Operating Procedure documents on a regular basis to ensure their team and league stays in good standing with the WCLA. These documents can be found on the WCLA Website (http://www.uslacrosse.org/wcla) and are updated annually. I hereby affirm that the facts contained in this application are correct and complete to the best of my knowledge. Your Initial's * Todays Date * Submit
