Summer Lacrosse Camp Registration (Return this along with payment)

Camper Name: __________________________

Address/Apt#: ____________________________________________

City, State, Zip: ________________________________________________

Camper’s School: ____________________________ Age:_________

Circle one: --- Boy's Camp --- Girl's Camp ---

Parent/Guardian 1: ________________________

Parent Guardian 2: ________________________

Parent Email: ___________________________

Parent Cell: ________________________

Emergency Contact Information (9am-3pm)

1. Name: ___________________, Relationship to camper: _____________, Phone #: ___________

2. Name: ___________________, Relationship to camper: _____________, Phone #: ___________

Camper’s T-Shirt Size (Please Circle One) : CHILD: sm, med, lg, ADULT: sml, med, lg, xl

Equipment

Each camper should bring his/her own equipment, including mouth piece and athletic supporter and cup for boys. Our camp has eqipment available to borrow at no cost.

Check of equipment to borrow:

Helmet:___ Shoulder pads: ____ Elbow pads:____ Gloves: ____ Stick:____ Gloves: ____ Girls' Stick: ____ Girls' goggles: ____

Campers may have photos or video taken during camp activities. Those images may be used to promote our lacrosse camps. Do we have your permission?

Circle one: --- Yes --- No ---

Camper is in good health and is physically able to participate in all activities. In case of emergency, I give my permission for the participant to be given medical treatment by a physician or hospital. I also give my permission to the directors and staff to act in the best interest of the camper should an emergency arise. I will notify the camp director of any medications or medical conditions that pertain to the camper. I will not hold the director, staff of WP Lacrosse Camp liable for any injuries, illnesses, or losses that may occur during camp.

Circle : --- Yes ---

Medical History (Confidential Information)
List all allergies (medicine, food, etc.): _________________________________________________

List all injuries in the past year: _______________________________________________________

Camp Fee - Please register before June 18, 2024

Please check appropriate line for which week(s) you will be attending:

Week 1 (June 27, 28 - July 1, 2, 3) (Thur. - Wed.) $360 -____

Week 2 (July 8 - July 12) (Mon. - Fri.) $360 - ____

Week 3 (July 15 - July 19) (Mon. - Fri.) $360 -____

Weeks 1 and 2 $700- _____

Weeks 1 and 3 $700- _____

Weeks 2 and 3 $700- _____

ALL 3 WEEKS $1020- _____

Mornings Only (9am-11:30am) $200 per Week - _______ (Indicate which week/s)

2 Weeks Monrings Only $200:________________________(Indicate which week/s)

3 Weeks Mornings Only $200:_______(Place check mark on the line)

Mail registration & checks to: (make checks payable to "Tiger Sports")
Mark Armogida
9 Quincy Lane
White Plains, NY 10605

You may call: 914-907-9925 if you have any questions regarding the camp.