2026 Severn Boys Lacrosse Middle School Evening Camp

2026 Severn Boys Lacrosse Middle School Evening Camp

CAMP HAS BEEN POSTPONED | DATE IS TBD AT THIS TIME
**Unfortunately, due to the high number of club tryouts surrounding our Middle School Evening Camp we will be forced to postpone the event until a later date. That date is TBD.**
Camper First and Last Name

First NameLast Name
Camper DOB:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Camper Current Age:
Camper Home Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School Camper Currently Attends:
Grade Entering Fall '26:
Position:
Campers Jersey Size:
Current Lacrosse Team:
Coaches First and Last Name:

First NameLast Name
Coaches Email Address:
example@example.com
Parent/Guardian #1 First and Last Name:

First NameLast Name
Parent/Guardian #1 Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian #1 Email Address:
example@example.com
Parent/Guardian #2 First and Last Name:

First NameLast Name
Parent/Guardian #2 Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian #2 Email Address:
example@example.com
Medical Information:
Physicians First and Last Name:

First NameLast Name
Physicians Phone #:
Please enter a valid phone number.Format: (000) 000-0000.
Is your child currently on any medications?
Please list any allergies below:
EpiPen use?
Do any of these conditions require special attention? If YES, please explain further:
Liability/Waiver
*The undersigned, being a parent or legal guardian of this camper understands and accepts that injury is possible while participating in the sport of lacrosse. I knowingly assume all risks associated with my child’s participation, even if arising from negligence of the participants or others, and assume FULL responsibility for my child’s participation.

*I authorize the sport camp staff to secure the proper medical care as necessary to insure my child’s wellbeing.

*I certify that within the past 12 months my child has had a physical exam by a physician or NP and that he/she is physically able to participate in the sports camp activities.

*I hereby acknowledge that I am responsible for medical charges incurred during sports camp participation. I further understand that the sports camp carries an excess medical insurance policy for sports injuries to the camper that may result from camper activities. This policy may only be utilized after my primary insurance company has processed the claims and issued an explanation of benefits.

*I also give permission for the camp directors to take pictures of the camper to use for further promotions of Severn Boys’ Lacrosse camps and clinics.

My signature below indicates that I have read and understand these terms:
Parent/Guardian First and Last Name:

First NameLast Name
Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Signature
Relationship to Camper:
Contact Information
For further questions, contact Keegan Wilkinson at (301)526-5953 or reach out via email to k.wilkinson@severnschool.com. Please complete this form with payment to register for your spot!

My Products

Severn Boys Lacrosse Middle School Evening Camp

This camp is designed as an introduction to Severn high school lacrosse practices and as a prospects camp.

$100.00 Quantity

Enter coupon

Total

Should be Empty:

2026 Severn Boys Lacrosse Middle School Evening Camp

**Unfortunately, due to the high number of club tryouts surrounding our Middle School Evening Camp we will be forced to postpone the event until a later date. That date is TBD.**

Medical Information:

Liability/Waiver

Contact Information

My Products

Unfortunately, due to the high number of club tryouts surrounding our Middle School Evening Camp we will be forced to postpone the event until a later date. That date is TBD.