2011 SUMMER EVENING CAMP
REGISTRATION FORM
July 25,26,27, & 28
The Katzenbach School, Trenton, NJ
Camp Registration Fee: $20.00 Trenton BRIDGE Players, $50.00 all others
First Name:
Street Address:
City:
Middle Name:
Apt #:
State:
Last Name:
Zip Code:
Age:
Grade Entering Sept. 2010 :
DOB:
School:
# of Years Playing Lacrosse:
Position:
US Lacrosse Member # (if applicable):
Parent/Guardian Name:
Home Phone:
Cell Phone:
E-Mail:
Work Phone:
Player Name
Gender:
