*** 10th Annual *** ML/BT Boys/Girls Lacrosse Camp@ RFL Fields

www.lakerfamilylax.com
*** 10th Annual ***
ML/BT Boys/Girls Lacrosse Camp@ RFL Fields
ALL BOYS AND GIRLS GRADES 1 – 6 (Grade at time of Registration)
With High School Coaches:
Ken White, Darrell Fusco, Steve Feltmann, Nick Lane and Girls Coach Jen Munday
CAMP DATE AND TIME
June 22nd, 23rd, 24th, 25th
Time: 9:00am – 1:00pm
Little Lakers – 9:00am – 11:00pm
COST
$220 per camper
$170 for 2nd family member
$100 per Little Laker
$75 for 2nd family member
***FRIDAY, JUNE 26th WILL BE USED AS A MAKE-UP DAY IF NEEDED***
We Supply: Water, Pinnies and T-Shirts. You Bring: Equipment & Snack
***PRIZES AWARDED DAILY***
***8th Annual - Little Lakers Camp***
All Boys and Girls ages 4 -7 (age at time of registration)
“Little Lakers” is a program designed to introduce young children to the
game of lacrosse through various fun filled games and activities.
***Please Mail Registration Forms by June 3rd***
Please make checks payable to Laker Family Lacrosse Camp
Mail to: Darrell Fusco
1 Southfield Road
Boonton Township, NJ 07005
Email any questions to:
kwhite@mtlakes.org
For registration forms and information log onto our website:
www.lakerfamilylax.com
10th Annual ML/BT Boys/Girls Laker Lacrosse Camp
Child’s Name___________________________________________________________________
T-Shirt Size, please circle one
YS -
YM -
YL
-
S
-
M
-
L
Grade (During registration)______________D.O.B._______________________ Male
-
XL
Female
Allergies______________________________________________________________________
Parent’s Names_________________________________________________________________
Address_______________________________________________________________________
E-mail Address_________________________________________________________________
Cell Phone #___________________________Home Phone #____________________________
Family Physician____________________________________ Phone #_____________________
Emergency Contact__________________________________ Phone #_____________________
Please Select Session – Circle One
Full Day Camp, Grades 1 – 6
9am – 1pm
Little Laker Ages 4 – 7
9am – 11am
nd
$220 per camper, $170 for 2 family member
$100 per camper, $75 2nd family member
I, the undersigned, being the parent or legal guardian of the above-named child, do hereby grant
permission for participation in the Laker Family Lacrosse Camp. I assume all risks and hazards
incidental to such participation and release to Laker Family Lacrosse Camp and its agents and
assigns form any liability and/or responsibility for any injuries sustained by my child or
expenses incurred there from while engaged in or traveling from any activities of the abovenamed organization.
Signature of Parent/Guardian____________________________________Date______________
___I grant permission for Laker Family Lacrosse Camp to use my child’s pictures for the
camp’s website photo gallery.