Phillylacrosse.com, Posted 6/5/17
Registration is open for the Downingtown West Girls’ Summer Camp for Grades 1 to 9, hosted and run by West Girl’s Lacrosse Players and Coaches, ln June 19-22 at Downingtyown West High.
There will be With special appearances by West Alumni currently playing college lacrosse.
WHERE: Downingtown West High School Turf Field.
DATE/TIME: June 19-22, 9am-1pm DAILY.
Camp Questions: Brittney (Long) Conzentino firstname.lastname@example.org; Registration & Payment Questions: Anthony Bednarik email@example.com
CAMPERS WILL NEED: Stick, Goggles, Mouthguard, Water Bottle, Lunch
COST: $150.00 (email: firstname.lastname@example.org about our sibling discount)
PAYMENT & REGISTRATION INSTRUCTIONS
• No refunds available for registrations received after June 5, 2017
• Camp Shirt – Guaranteed to registrations received before June 5, 2017
• Make Checks Payable to: DWHS Girls Lacrosse Booster Club
Shirt Size (Circle One): Youth Sizes: Y-Small Y-Medium Y-Large Y-XLarge
Adult Sizes: A-Small A-Medium A-Large
Camper Name: ______________________________________________
Grade (as of Fall 2016): ______________________________________________
Parent/Guardian Name: ______________________________________________
Phone: __________________ Email Address: __________________________
Emergency Contact & Phone: ___________________________________________
Medical Conditions: ________________________________________
• My daughter is in good health and I certify that she has my approval to take part in all clinic activities.
• It is understood that the DWHS Girls Lacrosse Booster Club, its directors, and anyone connected to the clinic will not assume any responsibility for accidents (medical or dental), allergies, or any expenses incurred as a result of accidents, and that clinic staff may call emergency personnel if deemed necessary.
• I agree and give permission for my minor daughter to be part of photographs or video clips taken by DWHS Girls Lacrosse Booster Club or DWHS personnel.
• I agree and give permission for the release of my minor daughter’s information, photograph and video clip to be published on the District / DWHS websites or print media
Parent / Guardian Signature: _____________________________________________ Date:
Mail Registration & Check to:
Anthony Bednarik, Booster Club Treasurer
6 Ashlea Dr.
Glenmoore, PA 19343