LAX Camp Registration

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To Register for Lacrosse Camp:

1. Before filling out the Registration information below, download and read the Summit Grove Summer Camp Parent Agreement. Then check the box 'I have read and agree to the terms of the Parent Agreement'. If you prefer, you can use the 'Pay Online' button found on this page to pay before or after submitting the Registration Form.

2. After filling out and submitting the Registration Form, you will be given the opportunity to 'pay your registration online' using the buttons shown on this page. If you prefer to pay by personal check, please send payments to (Ken Connolly, 5 South Broad St., PO #69, New Freedom, PA 17349). Include your child's/children's name(s) on your check.  Registration is not complete until both the registration form and payment are received. Please Note: Event cost is non-refundable if within 14 days of event.


Registration Deadline July 1)

Fees:
Lacrosse Camp (One Week)-- $250 - (Due at time of registering.)

AM Care – 7:00-8:30 AM -- $25/week
PM Care – 4:30-6:00 PM -- $25/week

What to Bring:
Lacrosse Equipment
(Goggles for girls) (Helmet and gloves for boys)
Mouth Guard
Water Bottle
Lacrosse Stick
Modest Swimsuit
Towel
Sunscreen
Extra Set of Clothes

 

 

 


Payment, registration form and emergency form are required at registration.

Any changes to this registration form must be approved by Coach Connolly.


NOTE: Multiple children can be registered. However, specific information is required for each child. Enter a childs name in the '#1 Camper's Name' field, hit enter, and the information required for the #1 Camper is displayed. To add a second camper enter a childs name in the '#2 Camper's Name' field, hit enter, and the information required for the #2 Camper is displayed. Repeat this process for a third Camper if required. After the individual camper content is complete, continue to complete the remaining required content.




LACROSSE CAMP EMERGENCY FORM 2020



ELECTRONIC SIGNATURE

If only one parent/guardian is provided for this form, that parent also certifies:
I hereby certify that this application has provided only one parent/guardian because (1) I am the sole parent/guardain responsible for this child or (2) I have made a good faith effort to obtain consent from the second parent/guardian but have not been able to do so due to reasons beyond my control.

Please only click the 'Submit' button one time.

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