Shooting Stars Lacrosse Camp
Camper Registration

Please Direct All Other Questions to: jrslax@gmail.com or (703) 853-5255

Email address *
Camper First Name *
Your answer
Camper Last Name *
Your answer
Parent/Guardian Name 1 *
Your answer
Parent/Guardian Email 1 *
Your answer
Phone Number (Parent/Guardian) 1 *
Your answer
Parent/Guardian Name 2
Your answer
Phone Number (Parent/Guardian) 2
Your answer
Parent/Guardian Email 2
Your answer
Fall 2018 Grade Level *
Years Playing Lacrosse *
Your answer
Home Address *
Your answer
Please Check Any Days You Cannot Attend (if applicable)
Is your daughter registered with US Lacrosse? (If they played recreation lacrosse this past year they should be) *
Please Choose a Payment Form to be Submitted by the First Day of Camp ($189) *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms