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Girls Lacrosse Camp

Date:  June 19-22, 2017

Time:  6:00-8:00 PM

Place:  Beavercreek High School Stadium

Grades:  3rd – 12th

Cost:  $75.00 includes a camp T-shirt

Instruction by: High School and College Coaches.

Bring:  Lacrosse stick, mouth guard, eye protection, & water. If you need to borrow a stick, please register early, supplies limited

Mail registration and check to:

BHS Women’s Lacrosse

1371 Backridge Court

Beavercreek, OH 45434

Make check out to BHS Women’s Lacrosse

 

Name:  _________________________ Entering Grade: ______

Shirt Size: YL S M L XL

Email:  _________________________________

Years of experience: Beginner Intermediate Advanced

Emergency Contact:  ___________________________ Phone:_________________

Medical Treatment Consent

I hereby consent that my child can receive any necessary medical treatment for any condition or injury suffered while attending the 2017 girl’s lacrosse camp.  I understand that the camp does not carry medical or accident insurance on behalf of any camper and that I will be responsible for any expenses incurred on her behalf in connection with such treatment.  I release the camp and its workers from all claims and liabilities for any injuries sustained by my daughter.  I confirm that my daughter is physically fit to participate in the camp and agree that she is adequately covered by medical insurance.  


Signature of Parent or Guardian:  ______________________ Date:

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