www.lakerfamilylax.com *** 10th Annual *** ML/BT Boys/Girls Lacrosse Camp@ RFL Fields ALL BOYS AND GIRLS GRADES 1 – 6 (Grade at time of Registration) With High School Coaches: Ken White, Darrell Fusco, Steve Feltmann, Nick Lane and Girls Coach Jen Munday CAMP DATE AND TIME June 22nd, 23rd, 24th, 25th Time: 9:00am – 1:00pm Little Lakers – 9:00am – 11:00pm COST $220 per camper $170 for 2nd family member $100 per Little Laker $75 for 2nd family member ***FRIDAY, JUNE 26th WILL BE USED AS A MAKE-UP DAY IF NEEDED*** We Supply: Water, Pinnies and T-Shirts. You Bring: Equipment & Snack ***PRIZES AWARDED DAILY*** ***8th Annual - Little Lakers Camp*** All Boys and Girls ages 4 -7 (age at time of registration) “Little Lakers” is a program designed to introduce young children to the game of lacrosse through various fun filled games and activities. ***Please Mail Registration Forms by June 3rd*** Please make checks payable to Laker Family Lacrosse Camp Mail to: Darrell Fusco 1 Southfield Road Boonton Township, NJ 07005 Email any questions to: [email protected] For registration forms and information log onto our website: www.lakerfamilylax.com 10th Annual ML/BT Boys/Girls Laker Lacrosse Camp Child’s Name___________________________________________________________________ T-Shirt Size, please circle one YS - YM - YL - S - M - L Grade (During registration)______________D.O.B._______________________ Male - XL Female Allergies______________________________________________________________________ Parent’s Names_________________________________________________________________ Address_______________________________________________________________________ E-mail Address_________________________________________________________________ Cell Phone #___________________________Home Phone #____________________________ Family Physician____________________________________ Phone #_____________________ Emergency Contact__________________________________ Phone #_____________________ Please Select Session – Circle One Full Day Camp, Grades 1 – 6 9am – 1pm Little Laker Ages 4 – 7 9am – 11am nd $220 per camper, $170 for 2 family member $100 per camper, $75 2nd family member I, the undersigned, being the parent or legal guardian of the above-named child, do hereby grant permission for participation in the Laker Family Lacrosse Camp. I assume all risks and hazards incidental to such participation and release to Laker Family Lacrosse Camp and its agents and assigns form any liability and/or responsibility for any injuries sustained by my child or expenses incurred there from while engaged in or traveling from any activities of the abovenamed organization. Signature of Parent/Guardian____________________________________Date______________ ___I grant permission for Laker Family Lacrosse Camp to use my child’s pictures for the camp’s website photo gallery.
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