|
Print the 2009-10 Brochure
(Adobe Acrobat File)
|
|
Please enroll me in a girl's lacrosse camp or clinic. |
|
|
|
|
|
|
|
|
|
|
|
Required For Second Camp Discount. |
|
|
Select one discount. Full Payment Required on
All Discounts & Specials.
|
Sibling Name (If Applicable)
Required For Sibling Discount. She must also
be attending camp.
|
|
|
US Lacrosse Membership Number (If Applicable)
Required For US Lacrosse Discount.
|
Group/Team Name (If Applicable)
Required For Group Discount. |
|
|
|
First Name: |
|
Last Name: |
|
|
Address: |
|
|
City: |
|
State: |
|
|
Zip: |
|
Phone: |
|
|
Camper E-Mail: |
|
H.S. Graduation Year: |
|
|
Age: |
|
Roommate Request: |
Last Name, First Name |
|
Parent E-Mail: |
|
Parent Phone: |
|
|
Coach's Name: |
|
School / Team: |
|
|
Coach's E-Mail: |
|
Coach's Phone: |
|
|
Experience: |
|
Position: |
|
|
Referral Code: |
|
|
|
|
Message: |
|
|
|
**
|
Please complete all sections. |