Santa Cruz County Sports
Santa Cruz County Sports Lacrosse

Registration

To register one or more children or adults for an upcoming session, please fill out the following form and click on the Print & Pay By Check button. Mail the printed form, along with a check for the registration fees payable to Santa Cruz County Sports, to:

          Coach Wes Koenig
          P.O. Box 66424
          Scotts Valley, CA 95067

or, if you prefer, you can pay via credit card using our PayPal account (if you don’t already have a PayPal account, you will need to sign up for such an account - don’t worry, it’s a simple process). To send your registration information directly to us via email and pay via credit card, just click on the Email & Pay By Credit Card button. You will then be taken to a page from which you can add appropriate fees to our PayPal shopping cart. 

Player #1

Name:

Birthdate:

School:

Shirt Size:
           Shorts Size:
 
Soccer:
 Soccer Camp
 Under 7
           Lacrosse:
 Elementary
 Middle School/Jr. High
 High School
 Girls

Player #2

Name:

Birthdate:

School:

Shirt Size:
           Shorts Size:
 
Soccer:
 Soccer Camp
 Under 7
           Lacrosse:
 Elementary
 Middle School/Jr. High
 High School
 Girls

Player #3

Name:

Birthdate:

School:

Shirt Size:
           Shorts Size:
 
Soccer:
 Soccer Camp
 Under 7
           Lacrosse:
 Elementary
 Middle School/Jr. High
 High School
 Girls

Player #4

Name:

Birthdate:

School:

Shirt Size:
           Shorts Size:
 
Soccer:
 Soccer Camp
 Under 7
           Lacrosse:
 Elementary
 Middle School/Jr. High
 High School
 Girls

Player #5

Name:

Birthdate:

School:

Shirt Size:
           Shorts Size:
 
Soccer:
 Soccer Camp
 Under 7
           Lacrosse:
 Elementary
 Middle School/Jr. High
 High School
 Girls

Family Information

Parents' Names:

Street Address:

City:       State:       Zip Code:
         

Email Address:

Phone:

Fax:

I am interested in coaching a team.

I am interested in sponsoring a team.

Enter the word you see below in the field provided: