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Camp Contact Information

Thank you for filling out the form below. If you have any questions call or email us at 508-557-1652 or info@qualitylacrosse.com
Pricing information is at the bottom of the form.

Child's First Name:
Child's Last Name:
Child's Date of Birth:
Child's Current School:
Child's Grade in Fall 2008:
Child's Ability Level:
Child's Weight:
Child's Height:
Child's Position:
Parent's First Name:
Parent's Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code:	(5 digits)
State:
Home Phone:
Cell Phone:
Cell Phone 2:
Parents E-mail Address:
Shirt Size: (Adult)
Please list the camps you wish to attend:
Additional Comments:	Enter comments here!

CAMP COST:
The New Jersey camp cost is $300.

Click Here for the Quality Waiver / Physical Form

YOU MUST COMPLETE THE WAIVER AND PHYSICAL FORMS. PLEASE SEND THEM IN WITH YOUR CHECK.
PAYMENT INFORMATION:
Please send this form in along with your check to:

David Evans/Quality Lacrosse Camps
38 Chelsea Drive
Seekonk, MA 02771

Your payment and this form must be received in order to secure your spot in our camp!