Summer Camp Detailed Registration Form

Rise and Grind lax Mini-Camp Pre camp screening form

Sign-up details emailed after submission
T-Shirt Size
Athlete Information
Athlete's Name

First NameLast Name
Athletes email address
Birth Date

MonthDayYear
Grade or year in college (rising freshmen, soph, junior, senior)
MaleFemale
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information (if under 18)
Name

First NameLast Name
Cell Number
Format: (000) 000-0000.
E-mail
example@example.com
Emergency Information
Emergency Contact's Name

First NameLast Name
Relationship
Phone Number
Format: (000) 000-0000.
Alt. Phone Number
Format: (000) 000-0000.
Are you playing or are you planning to play college lacrosse? If so - what college are you attending or what college do you want to attend?
Why do you want to attend Rise and Grind mini camp? **optional but highly encouraged!
Confirmation BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. It is okay for Rise and Grind to follow this form with information regarding Rise and Grind Lacrosse.
Should be Empty:

Rise and Grind lax Mini-Camp Pre camp screening form