2013 US Lacrosse North East Regional Championship
Housing Form

PRICING:
Double Rooms = $28 per person
Single Rooms = $32 per person
*2 chaperone/coaches of the same gender are required to stay with the team in the dorms.

**Meal options onsite at the university cafeteria are available and will be emailed to teams.

Team Name
Boys or Girls
Age Group
Team Contact Person
Team Contact Telephone Number:
(xxx-xxx-xxxx)
Team Contact Email:

Check-In Date:

Dorm rooms will have two single beds. Please indicate individuals sharing a room.

  • All requests will be considered on a space available basis
  • All Rooms are blocked on a first come first serve basis
  • Each team has a limit of 24 players and a requirment of 4 coaches/chaperones.
Room 1
Athlete 1
Athlete 2

Room 2
Athlete 3
Athlete 4

Room 3
Athlete 5
Athlete 6

Room 4
Athlete 7
Athlete 8

Room 5
Athlete 9
Athlete 10

Room 6
Athlete 11
Athlete 12

Room 7
Athlete 13
Athlete 14

Room 8
Athlete 15
Athlete 16

Room 9
Athlete 17
Athlete 18

Room 10
Athlete 19
Athlete 20

Room 11
Athlete 21
Athlete 22

Room 12
Athlete 23
Athlete 24

Room 13
Chaperone/Coach 1
Chaperone/Coach 2

Room 14
Chaperone/Coach 3
Chaperone/Coach 4

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