2018 Camp

Address *

Phone Number *

- Area Code Phone Number
Camper School *
Years of Playing Experience *
Position Played ( check all that apply) *

Attack Midfield Defense Goalie
Grade in FALL 2018 ** *
Playing level (comparative to age group) *
Camper Pinnie Size *

Youth XS Youth S/M Youth L/XL Adult S Adult M Adult L
Please Select all Camper will be attending *

Camp ($135.00) Stickwork Session ( +$15.00) Shooting (+$15.00) Draws (+$15.00)
Payment Method *

Paypal Check by Mail
**Following your submission, instructions will be sent for payment process.**
By Checking the box below, you agree to the Following:

Waiver

I understand and accept that the risk of injury is possible while playing or practicing the sport of lacrosse. I authorize the director and the certified athletic trainer on duty to act for me according to their best judgement in any emergency requiring medical attention. No one associated with the Cape Henlopen Womens Lacrosse Booster Club, Cape Henlopen High School or Cape Henlopen School District, assumes responsibility for any camper's medical or dental expenses incurred as a result of participation in this camp
Type a question *

I Agree
Guardian Electronic Signature *
First and Last Name
Should be Empty:

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