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YOU ARE REGISTERING FOR HOLIDAY CAMP!

Player Information

 Last Name   
 First Name   
 Address   
 City   
 State   
 Zip   
  Gender       Boy    Girl  
 Phone   
 E-mail Address   
 Confirm E-mail   

You must enter your E-mail address twice for confirmation purposes.
This E-mail address is very IMPORTANT. Most correspondence for this camp/league are issued via e-mail. Please type carefully and notify us of any changes in your address or status.

 

Player History

School    
Current Grade   
Shirt Size   
Birthday   
Age   
Positions Played  
Experience Level
Medical Restrictions  

Emergency Contact Information

 Name   
 Phone   
 

Parent/Guardian Release & Approval Form 

Parents, by typing your name in the form below, you are agreeing to the following:

  • You and your child will abide by the policies, rules and regulations as established by Florida Lacrosse Camps, Inc

  • You will allow FLC, Inc to provide limited medical attention and/or transportation to a medical facility if you are not present in case of an injury.

  • To not hold the League's coaches, volunteers, agents, officers and/or directors liable for injury, loss or damage occurring as a result of your child's participation in FLC, Inc activities.

 
 Name