Parkland Posse Lacrosse Association
2019 Winter Camp Registration
$75.00
Pre-pay for all Posse winter camps and save $$
Billing Information
First Name
First name is required
Last Name
Last name is required
Email
Email is required
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Address
Address is required
City
City is required
Prov/State
AB
BC
MB
NB
NL
NS
NT
ON
PE
QC
SK
YT
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
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NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Postal Code/Zip
Postal Code is required
Cell Phone
Home Phone
Work Phone
Notes
Player Name
Must Fill in!
Player's birth year?
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Select player's birth year.
Parent Name
Required. Cheque will be issued to the name provided.
If you do not receive a confirmation email you are not registered and must contact registrar@parklandposse.com
Understood
Response is required.
Payment Information
Quantity
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Total Price
$75.00
Name on Card
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Credit Card #
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Expiry Month
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Expiry Year
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Security Code
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