Montauk "The End" Camp: August 6 - August 9, 2019

Week: Tuesday, August 6 - Friday, August 9, 2019

Place: Hank Zebrowski Park, Montauk

Time: 9:00 to 11:00 am

Grades: 1-3; 4-7; 7-9

Price: $280.00

Email Sue at sthompson@millerlacrosse.com for the East Hampton Youth Lacrosse Discount

Photocopy of your primary insurance card




Price: $280.00

Click Here if you do not have a USA Lacrosse number.
USA Lacrosse Number: *Required  
Contact Name: *Required  
Player First Name: *Required  
Player Last Name: *Required  
Contact Phone: *Required  
Player Grade: *Required  
Address: *Required  
City: *Required  
State: *Required  
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Email: *Required  
Alt. Contact Name / Number: *Required  
Player Birth Date: *Required  
Player Age: *Required  
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Player Position:   
Take Face-Off / Draws?:   
Player School:   
Accolades, Accomplishments & Goals:
   
Any Medical Conditions?:*Required
   
Allergies? (please list):*Required
   
Primary Insurance Carrier: *Required  
Group Number: *Required  
I give Miller Lacrosse permission to use, at their discretion, any photos or video taken at this event in conjunction with future publication. A selection is required.

  
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