Registration
FEE: $500/week
The camp is open to young men ages 9-17.
A $200 deposit must accompany each registration form.
The balance of the camp fee ($300) is due at registration on the first day of camp.
The fee for day campers is $425.
Mail form along with a check or money order, made payable to: ALL AMERICA LACROSSE CAMP, to:
ALL AMERICA LACROSSE CAMP
P.O. Box 157
FRUITLAND, MARYLAND 21826.
NOTE: No Refunds for Withdrawals after June 13, 2010.
Fill out the fields below. Print the form. Mail completed form [plus check or money order] to the address above.
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Age on 7/1: HT: WT:lbs. |
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| Shirt Size: Adult S/M Adult L/XL | |
| Position (One Only): Attack Midfield Defense Goal Don't Know | |
| Roommate (ABSOLUTELY No Triples): | |
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| I HEREBY REQUEST THAT MY CHILD NAMED ABOVE BE ADMITTED TO THE ALL AMERICA LACROSSE CAMP, AND AUTHORIZE THE DIRECTORS TO ACT FOR ME ACCORDING TO THEIR BEST JUDGMENT IN ANY EMERGENCY REQUIRING MEDICAL ATTENTION. | |
| Parent Signature: ___________________________________________ Date:___________________ | |
| Home Phone: Parent's Work Phone: | |
| Insurance Company: Policy # | |
| E-mail Address: | |
| Credit Card Information | |
| Visa Master Card AmEx | |
| Name on Card (Please Type or Print) | |
| Card Number Exp. Date CVC # | |
| Check Here if you want your confirmation via e-mail | |
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CAMP USE ONLY: Date Rec: _______ Amt: ______ CL: _______ Due: _______ Cash/CK#: ____________ Room: ____________ |
