Lacrosse Camp

Monday July 30^th – Friday August 3^rd  2012

3^rd – 6^th Grade 1-3 PM, 7^th – 10^th Grade 3:30-5:30 PM
Please join Justin Schmit of the University of Dubuque and alumni of NCA along with Coaches Becker and Nies for a great skill building camp. Campers will build their Lacrosse knowledge along with key lessons needed to excel in all aspects of everyday life. This camp is for all levels of experience. Helmets will be provided for all campers.

Location: West River Park

Ages: Grades 3^rd – 6^th, 7^th- 10^th, THIS IS THE GRADE YOU ARE GOING TO BE IN 2012-2013 SCHOOL YEAR

ALL CAMPERS WILL GO TO CAMP AT THEIR RESPECTIVE TIMES – BRO AWARDS WILL BE GIVEN OUT AT THE END OF EACH SESSION!

Cost: $50

Please detach below the dotted line and send completed form to:

Coach Nies at Crow River Nutrition

146 Franklin Street SW

Hutchinson, MN 55350

Registration also available the day camp starts.

Make Checks Payable to: Coach Jeff Nies

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Camper Information:

Name_________________________________________Grade (2012-2013)_________________

Age_______ DOB ________ Parent’s Name __________________________________________

Address _____________________________________ City __________ State _____ Zip ______

Phone Number ____________________________Email _________________________________

Emergency Contact _______________________________Number ________________________

Years Of Experience ___________________ Position(s) Played_______________________

I hereby authorize the directors of the Spartan LAX Camp to act for me according to their best

judgment in any emergency requiring medical attention. I also understand that due to the physical nature of

sports there is the possibility of injury. Spartan LAX Camp, or any entity involved with it assumes

no liability for any injuries occurred throughout the camp.

Parent/Guardian Signature ________________________________________