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To save your space in camp this summer, detach and fill out this form and send it along with a non-refundable $100 deposit check per camp made payable to All American Lacrosse Camps to:
All American Lacrosse Camps
210 N. Beechwood Avenue
Baltimore, MD 21228
Check camp(s):
1 Bryn Mawr College Open Camp
2 Bryn Mawr College Elite Camp
3 Deerfield Academy Open Camp
4 University of Maryland Open Camp
5 University of Maryland Specialty Camp
Check one: Overnight Commuter Date:__________
(Please print)
Name:_________________________________________________
Address:______________________________________________
City:_________________________________State:__________
Zip:__________________Phone: (_______)________________
Year in school just completing:_______________________
Date of Birth: Month:______Day:_______Year:__________
School:_______________________________________________
Coach:________________________________________________
Coach's Phone: (________)_____________________________
Circle highest years of experience:
Varsity Starter: 1 2 3 4 Var: 1 2 3 4
JV: 1 2 3 4 JHS: 1 2 3 4
Circle Power Ranking
1) Come from highly successful program
2) Come from program with relative success
3) Come from upcoming program
Circle Position(s): Attack Midfield Defense GK
Roommate preference:__________________________________
(If you select a roommate,
be sure she selects you on her form.)
*Parent or Guardian please read:
I understand and accept that the risk of injury is
possible while playing or practicing the sport of
lacrosse. I authorize the directors to act for me
according to their best judgement in any emergency
requiring medical attention. Anyone associated with
All American Lacrosse Camps will not assume campers'
medical or dental expenses incurred as a result of
participation in this program.
Parent or guardian signature:_________________________
Camper's Health Insurance Co:_________________________