New Orleans Lacrosse Club

Mardi Gras Lacrosse Tournament Registration

Team Name
Division
Coach/Organizers Name
Address
Second Address Line (optional):
City
State/Province
Zip/Postal Code
Country
Email
Phone (with area code preferably a cell phone)
Website
The fee for registration is $850(Mens) and $750(Womens). The full registration fee will be due by the first of January 2012.
Payment Amount:	You must pay the total amount due once you receive your confirmation email. Please make checks payable to: "Mardi Gras Lacrosse Tournament" Mail to: 2112 Haring Rd. Metairie, LA 70001 Full Registration Fee: $850(Mens) $750(Womens) Paypal: $875(Mens) $775(Womens)
Once the registration is complete you will receive an email confirming receipt of your registration.
Payment Method:	Credit Card (Paypal) Check