Lacrosse Camp Registration {

Girls Lacrosse Camp Registration

Date: August 11 thru 15, 2014

Time: 8:30 am to 4:30 pm

Where: Patsy Huson Field 20300 Fulks Farm Rd Montgomery Village, Md.

Cost: $50

Please complete the registration form below. 
Questions regarding the camp can be directed to:  Bob Schaefer

 


Sport: *
 Girls Lacrosse
Player's full name: *
Player's address: *
Player's date of birth: *
Player's school: *
School grade as of 09/01: *
Parent name(s): *
Parent email address: *
Parent phone: *
List any medical conditions (eg. asthma, orthopedic issues):
US Lacrosse member# (required): *