Camp Registration Form

Complete the form and you will need to mail a check to Coach Cottrell to complete the registration:

Please put the name of the player in the note section of the check.

Homer Lacrosse Campy

C/O Tom Cottrell

186 N. West Street

Homer, N.Y. 13077

Check Payable to: Homer Lacrosse Booster Club

COST:

Pre-register before camp $125.00

Cell Phone *

Parents Name: *

Camp Reversible Size (adult) *

Players Name: *

Grade Level (Fall 207) *

Players Age: *

Home Phone *

Comments/Questions:

Parents Email: *

Position (select one) *

Emergency Phone other than parent *

Homer Lacrosse Camp Registration Page