Registration Fees

Fees go toward, insurance, field usage, uniforms, referee fees, coaches training, play dates and other activities and/or fees that come up during the season. URA is a 501(c) not for profit organization and all fees collected are used to better the program experience for our players.

Please mail CHECKS to:

URA Girls Lacrosse, c/o Pegasus Technologies LLC

425 McFarlan Road, Suite 201

Kennett Square, PA 19348

ATTN: Travis Norris

2012 URA Girls Lacrosse Registration

Please enter in your players information below completely.

First Name
Last Name
Birth Date
Address
City
State
Zip Code
US Lacrosse #
Choose your grade

Home Town
School
Lacrosse Experience
Do you have allergies?	Yes No
Please provide allergy details

Parent/Guardian Information
Parent/Guardian	Parent Legal Guardian
First Name
Last Name
Parent/Guardian	Parent Legal Guardian
First Name
Last Name
Email Address
Home Phone
Mobile Phone
Work Phone
Are you interested in volunteer opportunities?	Yes No
Age Group CommissionerHead CoachAdministrative Volunteer Age Group Commissioner AssistantAssistant Coach
Choose your payment method:	Check Credit Card
Your cost:

Registration Fees

2012 URA Girls Lacrosse Registration

Parent/Guardian Information

Your cost: