Forms

Registration Form

Please fill out this form, as well as the other 2 forms, completely

and return with payment to:

The Total Athlete, 244 Douglas Ave. Holland, MI 49424

Fax: 616-928-1132

Name:_________________________________________________

Address:_______________________________________________

City:____________________ State: _________ Zip: __________

School:______________________________ Grade: ___________

Phone #:__________________ Email:_______________________

Lacrosse Position: A/M D G

Please check All that apply

Lacrosse Camps/Clinics

________

Boys WinterBeginner Camp $85

Lacrosse Leagues

________

$15.00 Jersey Cost (Leagues Only)

If you already have a Total Athlete jersey...What's the #? ________ (League Only)

Total $____________

Please make checks payable to: The Total Athlete

*** THERE WILL BE A $25.00 RETURN CHECK FEE ***

There is a $3.00 processing fee to pay by credit card

Credit Card Information: (you can also call or stop by the store to give this info)

CC#____________________ Exp. date:_______ Billing Zip Code:_________