Team Reservation – National Lacrosse Invitational Ward Melville

Payment Information
The NLIWM is structured for players to pay individually by credit/debit card during online registration. For any questions or issues, please email Mark Rotella nliwm1@gmail.com .
Division*
- High School
Team & Player Payment Setup*
- Players will register and pay individually
- Players will register, but we will pay as a single team payment
Select Your Session*
- Summer Event (July 6-7, 2023)
Team Name*
Coach Info
Coach Name*
First Last
Email*
Home Phone
Work Phone
Cell Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Team Contact
If your coach is not the team contact, please fill out the information below.
Rep Name
First Last
Rep Phone
Main Contact Email*

Payment Information