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2017 Cranford Girls Lacrosse Camp

SMB SPORTS LLC

GRADES:2nd -incoming 9th

DATES:July24t h -July27t h (Rain or Shine)

Camp Director: Samantha Berk
Head Girls Lacrosse Coach Cranford High School

Location : Memorial Turf, 50 Myrtle St , Cranford, NJ 07016
Hours: 9:00 am-12:00 pm. Campers should bring a healthy snack!
Players Must Bring: Lacrosse Stick, Goggles, Mouth Guard, Water, Snack. Cleats should be worn on turf field. Bring sneakers in case we are indoors due to weather conditions.
Camp Fee: $185; Please make check payable to SMB SPORTS LLC
Due Date: Forms/Check Due by July 1 , 2017
For Additional Information/Questions: Email Samantha Berk... berk@cranfordschools.org

Detach and Mail to: SMB SPORTS LLC, 25 Christopher Ave, Kendall Park, NJ 08824

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Cranford Girls Lacrosse Camp Registration Form
Athletes Name/Age: _______________________________________ Athlete's Shirt Size(Circle One): Adult S, M, L, XL

Athlete’s Grade (2017-18) _______ Athletes Lax Level (Circle One): Beginner Intermediate Advanced Address: __________________________________________ City: ____________________ State:_______ Zip:_____________ Parent/Guardian Name: _____________________________________ Parent Phone Number:_________________________ Parent Email: ________________________________________________

Family Physician Name and Phone: ___________________________________________________________

Medical Conditions (ex: asthma, allergies etc):__________________________________________________________________

List 2 Emergency Contact Names with Phone Number:

1. _____________________________ (_______)______-___________ 2. ___________________________________ (_______)________-_________

Accident Insurance Company: _____________________________ Policy #: __________________________________

I hereby certify that my daughter is in good physical health and may participate in all camp activities. I authorize the staff of SMB Sports LLC to act for me according to their best judgment in any emergency situation requiring medical attention. I hereby acknowledge that participation in this camp may result in accidents and/or injuries. Even though there are risks involved, I still give my approval for the above named player to participate in all camp activities. I expressly assume all risks and hazards incidental to such participation, and do hereby waive, release, absolve, indemnify and agree to hold harmless SMB Sports LLC, its staff, suppliers, participants and Cranford High School for any claim arising out of injury or illness to said player regardless of the cause.

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Parent Signature: __________________________________________________ Date: ___________________________