Lacrosse Camp 2022

Contact Coach Bill Hogan with any questions: 516-761-2519 or hogan@cbaalbany.org

Player Name*
First Last
Address*
Street Address Address Line 2 City ZIP / Postal Code
Birthday*
Month
Day
Year
Height*
Weight*
School*
Grade in September '22
Parent/Guardian*
First Last
Email*
Phone*
Medical Concerns
Choose Appropriate Session Information*
- Grades K-8 (Full Pads) - $250
- Learn to Play Ages 4-8 (Stick & Mouthpiece) - $225
Registration: 8:30 am, Grades K-8 Camp: 9:00 am - 12:00 pm, Learn to Play Camp: 9:00 am - 11:00 am
T-Shirt Size*

Carrier*
Policy Holder's Name*
First Last
Policy #*
Group #*
Emergency Contact other than parent
First Last
Phone
Medical Release: I, the undersigned, realize that participation in any sport may cause physical injury. In the event of an injury, I authorize the appropriate camp personnel to administer first aid or care as deemed necessary. I release Christian Brothers Academy, the camp staff, its officers and any representatives of any claims for damages to persons or property while at the camp.
Signature*