Mid Penn Blaze Girls Lacosse

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I/We certify that the child listed above is covered by medical/hospital insurance which will be the primary insurer in the event that an injury occurs during any activity related to Mid Penn Blaze Girls Lacrosse. I/We confirm that the child listed above is medically fit to take part in this activity.
2025/26 Summer Registration
Price: $420.00 Quantity:
2023/24 Summer Registration
Price: $500.00 Quantity:
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