POLISH NATIONAL
LACROSSE TEAM
 TRYOUT REGISTRATION FORM FOR
  TEAM POLAND
First Name:
Last Name:
Address:
State/Province:
 Zip Code:
City:
Country:
 Date of Birth:
Your email address:
Home phone number:
Work phone number:
Mobile phone number:
High School:
 College/University:
High School Grad Year
 College Grad Year
High School Position:
 College Position:
High School Stats:
 College Stats:
High School Coach:
 College Coach:
Accomplishments as a high school player:
 Accomplishments as a college player:
Club Team:
Club Team Position:
Club Stats:
Club Coach:
Accomplishments as a club team player:
Height:
 Weight:
 40 yard time:
How are you eligible?
Do you have a Polish Passport?
Select Tryout Location
Note: Cost for tryout is $125.00 U.S.   Travel, Room and Board are NOT included.
• Players invited to the tryouts must agree to meet the obligations of the 2010 Polish Team, if they make final roster.