Online Consent Form

Players under the age of 18 must have a parent or guardian's consent prior to being able to participate. Parent or Guardian may fill the online consent and registration form and submit payment online.

Individual Sign-up for Coaches & Parents. You will be redirected to another page to submit payment by Pay Pal. You do not have to have an account to make a payment. A hard copy consent form will be sent with a confirmation of registration. If you do not wish to continue with online registration and wish to register by mail, go here.

Online Registration for The Elite 150 Camps and Tournaments

Online Registration & Consent Form- *

Youth Day Camp-Boys Ages 6-9 June 18-22 Session 1 - $235 Youth Day Camp-Boys Ages 10-13 June 25-29 Session 2 - $235 Young Guns Camp Ages 13-16, July 8-11 Day Camper $325 Young Guns Camp Ages 13-16, July 8-11 Residential Camper $425 Summer 16 Outback Steakhouse Tournament Ages 14-17 July 20-22-Commuter $175 Summer 16 Outback Steakhouse Tournament Ages 14-17 July 20-22- Resident $275

After Signing the Consent , you will be redirected to The Registration Page to make your payment.

Name *

Address

Address Line 2 City State / Province / Region Postal / Zip Code Country Canada Costa Rica Mexico Puerto Rico United States

Phone Number

Email *

Cell Phone Number

Position(s)

Attack   Mid-Field   Defense   Goalie

Birth Date MM/DD/YYYY

High School

Graduation Date/Year

Club Team (if Applicable)

Coach's Name *

Coach's Phone Number *

Coach's Email

Team Division

Parent or Guardian Consent Please check off box before sending.

I have read and agree to the Terms of Service. *

Please Read and Agree to Terms. I agree to the terms and conditions below. I hereby authorize the Elite 150 Lacrosse Camp to act on my behalf according to their best ability in any medical emergency. I verify to the best of my knowledge that the above named applicant is physically able to participate in all lacrosse activities. I, parent/guardian of the above lacrosse player, certify that he is covered by medical/health insurance, and has no chronic ailment or recurrent injury, which might endanger his well-being while participating in lacrosse activities/games. I further understand that lacrosse is a contact sport. As a participant in a contact sport, the player above accepts a certain responsibility to play in a sportsmanlike manner and for the normal, inherent risk of athletic injury. I, the undersigned, waive and forever discharge Mount St. Mary’s University, Tom Gravante, and The Elite 150 Lacrosse Camp, its staff, officers, representatives, employees, and successors from any and all rights and claims for damage to person and property while at this lacrosse site.

Please contact me about news and events *

Yes   No

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