PRINCE WILLIAM LASSIE LEAGUE
PO Box 1706
Woodbridge, VA 22195-1706
 

 

 

                              

 

 

2010 SEASON LEAGUE REGISTRATION FORM

Name of Player  ____________________________________
Parents/Guardians ____________________________________
Street Address ____________________________________
City ____________________________________
State ____________________________________
Zip Code ____________________________________
E-mail ____________________________________
Telephone (Home) ____________________________________
Telephone (Work) ____________________________________
Telephone (Cell) ____________________________________
E-Mail ____________________________________
Player's Date of Birth ____________________________________
Player Referred By ____________________________________

In which age group does your player belong? 

 INSTRUCTIONAL (6-8 yrs old)      (age as of December 31, 2010)
 PIGTAIL (8-10 yrs old)
 PONYTAIL (11-13 yrs old)  
 JUNIOR (14-15 yrs old)  
 SENIOR (16-18 yrs old)
 
Is your player:  a   ___ New Player?     ___ Returning Player?

If "Returning", to last year's Division and Team?  ___ Yes    ___ No

If "Yes", which team was your girl on? ________________________
 


Signature of Parents / Legal Guardians:

____________________________________
Signature

I certify that the preceding information about my player is correct.

 _________
Date

 

 
Volunteer Participation:
Following is a list of area in which the Lassie League needs volunteers in order to make the season a success.  Please check all that interest you.
 Coach___  Ass't Coach___  Team Parent___  Umpire___  Board Member___  Scorekeeper___  Banner Maker___  Team Sponsor ($250.00)___

 Other:  _______________________________________________
Photograph Usage Authorization: ___ Yes continue below ___ No

I, ___________________________, give permission to the Officials of the Prince William Lassie League to use my child/ward ________________________'s (Print full name of child/ward) photos on the PWLL website, advertising material, newspaper articles, etc.  No first or last names will be printed with this material.

Signature of Parents / Legal Guardians:
 
____________________________________
Signature		 _________
Date
Payment Options
MasterCard___  VISA___  Check___  Cash___
Credit Card Number Sec Code Exp Date
                               
     
    /    
______________________________ _____________________________ 
Printed Name Signature

Bring this completed form to one of our walk-in registration sessions (January 30, February 6, 13, 20, and 27, and March 6) at the AMF Bowling Center on Dale Blvd, or mail your completed and signed form, along with your registration fee (1 girl = $65, 2 sisters = $105, 3 or more sisters = $115), to:

PRINCE WILLIAM LASSIE LEAGUE
PO Box 1706
Woodbridge, VA 22195-1706


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Contact the Prince William Lassie League Board of Directors! 

Updated on 6/24/2010