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Home of North Carolina Lacrosse |
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The Apex Summer Lacrosse Camp
Registration Form
Apex High School
| Name:________________________________________ | Date of Birth :________________ | Email:______________________________ |
| Address:______________________________________ | City:_______________ | Zip:_______________ |
| Parents Name:_________________________________ | Home Phone:_______________ | Work Phone:_______________ |
| Emergency Contact:______________________________________ | Phone:_______________ | Future High School:________________________ |
| School:_______________________________________ | Grade(2010-2011):_______________ | My Child is a goalie: (circle one) Yes No |
| Tee Shirt Size:______________________________ |
Dates: June 14 - 17 (Monday - Thursday), 5:30 PM - 8:00 PM
Levels: Boys rising grades 3-9, Beginners through Advanced
Rate: $120
Staff: Apex HS coaches
and players
*Registration confirmations will be sent via email. Please write your email
neatly.
*All players receive a reversable jersey.
*Click here for directions to the High School.
*All players entered into raffles for equipment and other give-aways.
*Required equipment: Helmet, gloves, arm pads, shoulder pads, cup, mouth piece.
| Please call us at 363-9367 if you have any questions. Make check
payable to Dream Sports Lacrosse. |