Beginner      Intermediate        Advanced

 

ULTIMATE PLAYER

Rising Juniors and Seniors only

Years of Varsity Experience _____

 

Payment in whole:

Before May 1........................................ $415

After May 1.…...................................... $465

 

Checks payable to:  Lacrosse School LLC

Mail application to:         Lacrosse School

P.O. Box 137

                                    Middletown, CT  06457

 

If you have any questions, please contact:

Holly Wheeler                            Laura Field 860.685.2906                            203.432.1486

                                   

 

Additional information will be sent upon receipt of application.

 

Text Box:  Lacrosse School
—APPLICATION FORM—
Name:________________________________
 
Address: ______________________________
 
City/State/Zip: _________________________
 
Home Phone #: ________  __________
 
Daytime Phone #: ___________     ________
 
Name of Parents/Guardian: ______________
 
Email Address: ________________________
 
Date of Birth: __________________________
 
Year of High School graduation: ___________
 
High School: ___________________________
 
Position: ______________________________
 
Roommate Request (Limit 1): _____________
How did you hear about the camp?
____________________________________
 
RISING STAR
 Beginner       Intermediate         Advanced

ULTIMATE PLAYER
Rising Juniors and Seniors only
Years of Varsity Experience _____
 
Payment in whole:
Before May 1........................................ $415
After May 1.…...................................... $465
 
Checks payable to:  Lacrosse School LLC
Mail application to:         Lacrosse School
P.O. Box 137
                                    Middletown, CT  06457
 
If you have any questions, please contact:
Holly Wheeler                            Laura Field 860.685.2906                            203.432.1486
                                    
 
Additional information will be sent upon receipt of application.