SUMMER CAMP

1
SUMMER CAMP
23-25 JUNE 2008
900 AM-1200 PM HILLGROVE HIGH SCHOOL
(LOWER FIELDS) Camp is open to grades 4th thru
8th to include rising 9th graders. PRICE -
125.00 PER CAMPER, 100 FOR ADDITIONAL CHILD Fee
includes Professional instruction provided by
Trident Lacrosse, T-Shirt, Daily PowerAde and
Water and Wednesday Pizza QUESTIONS CALL COACH
RIGGINS 678-331-3961 ext 424 CAMP ATTIRE Shorts,
T-shirt, Cleats, Athletic supporter w/protective
cup, mouthpiece, Lacrosse Helmet, gloves,
shoulder pads, and stick. Lacrosse equipment
(helmet, gloves, shoulder pads and stick) is
available for purchase (TBD) and or rental at a
cost of 35.00 (150.00 deposit required).
Please come prepared on June 23rd to arrange for
equipment. Please fill out registration and sign
release below, mail forms to Hillgrove Boys
Lacrosse Camp, 4165 Luther Ward Road, Powder
Springs, GA 30127. Please make checks payable to
Hillgrove Lacrosse Booster Club. Registration is
allowed on first day of camp.
Name ________________________ DOB
_______________ Age _______ Grade
_____ Address ___________________________________
_________ Home Phone _______________ Emergency
Contact and number ______________________________
______________________ T-Shirt Size (Circle One)
Youth Small / Med / Large Adult
Small / Med / Large / XL
I hereby give permission for _____________________
___ (childs name) to participate in the
Hillgrove Lacrosse Summer Lacrosse Camp 2007. My
child and I are aware that participating in the
Camp is a potentially hazardous activity. I
assume all risk associated with participation in
this camp, including related injuries, and the
effects of weather, traffic, and other reasonable
risk associated with the sport. All such risk
are known to me. Furthermore, I authorize the
camp staff to provide emergency treatment of an
injury to, or illness of my child, if qualified
medical personnel consider the treatment
necessary and perform the treatment. The
authorization is granted only if I cannot be
reached and a reasonable effort has been made to
do so. Please list any Pre-existing medical
conditions ______________________________________
___ Signature of Parent or Guardian/Date_________
_______________________________________