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The Glastonbury Lacrosse Tournament

July 24th-25th, 2021

RESERVATION/PAYMENT

Return As Soon As Possible with $975 (Men), $600 (Women) or $575 (35+) Registration Fee
(check payable to: Glastonbury Lacrosse Club, Inc.)

NAME OF TEAM:   ______________________________________________________

JERSEY COLOR: ________________________________________________________

TEAM REPRESENTATIVE OR COACH: ____________________________________

E-MAIL ADDRESS: ______________________________________________________

ADDRESS: _____________________________________________________________

PHONE: (H) ______________________  (M)  _________________________________

APPROXIMATE NUMBER OF PLAYERS: __________________________________

COLLEGES REPRESENTED: _____________________________________________

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OTHER INFORMATION ABOUT TEAM: __________________________________

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Registration Fee (Men: $975 Women: $600 35+: $575)   _________________            

Check payable to:  Glastonbury Lacrosse Tournament, Inc.
Mail to:                    c/o Rob Peterson
                               161 Bluff Point
                               South Glastonbury, CT 06073