2019 CHS Girls Cougar Lacrosse Summer Camp Registration
DATE: June 10-13
TIME: 9:00am-12:00pm
LOCATION: Chattahoochee High School Stadium
AGES: rising 3rd-9th grade girls
COST: $100

Contact hoochgirlslacrosse@gmail.com with questions.

Camper's First Name *
Your answer
Camper's Last Name *
Your answer
Camper's Date of Birth *
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Camper's Grade (2019-2020) *
Camper's T-Shirt Size *
Known Allergies (food, medication, latex, etc)/ Additional Notes *
Your answer
Number of Years Playing Lacrosse *
Parent's First Name *
Your answer
Parent's Last Name *
Your answer
Parent's Email Address *
Your answer
Parent's Cell Phone Number *
Your answer
Home Address *
Your answer
Name of Emergency Contact During Camp *
Your answer
Relationship to Camper *
Your answer
Emergency Contact Phone Number *
Your answer
Health Insurance Provider *
Your answer
Insurance Policy Number *
Your answer
Parent Signature *
Your answer
I hereby give consent for my child to attend the 2019 CHS Girls Cougar Lacrosse Camp at Chattahoochee High School from June 10 - June 13, 2019. If we cannot be reached in the event of an emergency, we also give our consent for the school to obtain - either through a physician or a hospital of its choice - such medical care deemed necessary by an attending physician for treatment of my child should an injury occur during camp. I consent to the use of any photographs or video taken during Camp for future advertising. *
Required
PLEASE NOTE: Make checks payable to "CHS Girls Lacrosse" in the amount of $100 and please write the camper's name in the memo line of the check. ***Mail checks to Pam Trainer, 5570 Millwick Drive, Johns Creek, GA 30005. Payments are due June 6, 2019. ***You will receive an email a few days before camp with sign-in table location and additional information.** *
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