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Washington
Chapter - New Start Grant Application
Boys
High School Team
(check one)
Boys
Middle School Team
The Program
The
Washington Chapter of US Lacrosse New Start Program is intended to
provide a free equipment package to qualifying new boys lacrosse teams
in Washington State.
Requests must be completed and returned by December 31st, 2001.
Notification of grant awards will be made in early January.
The package includes: 2
Goals and Nets, 5 Sticks, and 5 Gloves (or other gear depending upon
availability). Please note
that all new teams must have a Head Coach at time of grant application.
Head Coach must be a current member of U.S. Lacrosse or provide a
copy of U.S. Lacrosse membership application at time of grant request.
Questions?
New High School Teams
Kris Snider - 206-285-8797
New Middle School Teams
Matt Hipps - 206-320-9233
Applicant
Name* (please print clearly)
Applicant Role* (Head Coach, Parent coordinator, etc.)
Applicant
Address*
City*
Zip Code*
Applicant
Home Phone*
Work Phone*
E-Mail Address*
Team
Name*
School(s)
Represented*
Home Field Name
Head
Coach* (if different from above)
Phone # *
E-mail Address*
U.S.
Lacrosse Membership # *
Have
you attended League meetings?
Y /
N
How
many players currently committed to play?
Description
of your program: On the back of this form, please provide a description
of your new lacrosse program and the need for this equipment grant. *
Additional
Comments
Applicant
Signature
Date
Please
return this application by 12/31/01 to:
Gail Shelton
U.S. Lacrosse Chapter Secretary
8761 Island Heights Lane
Mercer Island, WA 98040
*
required
information
206-232-7000
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