Player's First Name:

Player's Last Name:

Age:

Date Of Birth:

Check one:

Male | Female

Address Line 1:

Address Line 2:

Town/City:

State:

Zip:

Telephone:

Email Address:

Email Address (Re-enter)

School:

Position:

Year Of High School Graduation:

T-shirt size (adult):

S | M | L | XL | XXL

Experience (seasons played):

Which division do you which to play in?

Red (15 and under)
White (16 and older)
I am 15 or under, but wish to play in the older division

Have you attended a
Player's Choice Camp in the past:

Yes | No

How did you hear of Player's Choice:

Check which camp(s) you are registering for:

Girls Camps:
Player's Choice Girl's Full-Field Team & Skills Camp: July 18-22 ($595 overnight; $475 day)
Player's Choice Girl's One-On-One Goalie Camp: July 18-22 ($595 overnight; $475 day)
Player's Choice Hannah Nielsen Girl's Shooting Camp: July 18-22 ($595 overnight; $475 day)
Player's Choice Hannah Nielsen Girl's Elite Offense Camp*: July 22-25: ($595 overnight; $475 day)
Player's Choice Amber Falcone Girl's Elite Defense Camp*: July 22-25: ($595 overnight; $475 day)
Player's Choice Morgan Lathrop Elite Goalie Camp*: July 22-25: ($595 overnight; $475 day)
Player's Choice Girl's Sarah Albrecht Extreme Offense Camp: Aug 4-7 ($595 overnight; $475 day)
Player's Choice Girl's Gina Oliver Extreme Defense Camp: Aug 4-7 ($595 overnight; $475 day)
Player's Choice Girl's Amy Altig Extreme Goalie Camp: Aug 4-7 ($595 overnight; $475 day)

Boys Camps:
Player's Choice Doc Schneider Elite Goalie Camp: July 26-29: ($595 overnight; $475 day)
Player's Choice Chazz Woodson Elite Attack Camp: July 26-29: ($595 overnight; $475 day)
Player's Choice AJ Shannon Elite Middie Camp: July 26-29: ($595 overnight; $475 day)
Player's Choice Nick O'Hara Elite Defense Camp: July 26-29 ($595 overnight; $475 day)
Player's Choice IronMan Video Goalie Camp: July 29-Aug 2 ($595 overnight; $475 day)
Player's Choice Merrick Thomson IronMan Shooting Camp: July 29-Aug 2 ($595 overnight; $475 day)
Player's Choice IronMan Goal-To-Goal Transition Camp: July 29-Aug 2 ($595 overnight; $475 day)
Player's Choice Kenny Nims Extreme Attack Camp: Aug 2-5 ($595 overnight; $475 day)
Player's Choice Matt Abbott Extreme Midfield Camp: Aug 2-5 ($595 overnight; $475 day)
Player's Choice Chris Surran Extreme Goalie Camp: Aug 2-5 ($595 overnight; $475 day)
Player's Choice Brodie Merrill Extreme Defense Camp: Aug 2-5 ($595 overnight; $475 day)
Player's Choice Boy's Full Field Team & Skills Camp: Aug 5-9 ($625 overnight; $495 day)
Player's Choice Boy's Full-Field Goalie Camp: Aug 5-9 ($625 overnight; $495 day)
Player's Choice Dave Evan's Power Shooting & Strength Camp: Aug 5-9 ($625 overnight; $495 day)
Player's Choice Paul Rabil Pro Offense Camp: Aug 9-12 ($595 overnight; $475 day)
Player's Choice Kip Turner Pro Goalie Camp: Aug 9-12 ($595 overnight; $475 day)
Player's Choice Kyle Sweeney Pro Defense Camp: Aug 9-12 ($595 overnight; $475 day)

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Check one:

Day | Overnight

Roommate Request:

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

REGARDING TRAVEL: If deciding between TF Green Airport in Providence, RI and Logan Airport in Boston, MA, keep in mind that TF Green is closer to camp and a much more convenient airport. However, we will arrange pickup and dropoff at Logan if that's the only choice.

Travel options (check one):

TF Green Airport, Providence, RI, roundtrip ($65)
Bus/Train Station, Providence, RI, roundtrip ($65)
New Bedford Bus Station, New Bedford, MA, roundtrip ($30)
New Bedford Ferry, New Bedford, MA, roundtrip ($30)
Logan Airport, Boston, MA, roundtrip ($110)
Will organize travel later
No travel needed

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Camp merchandise (optional):

PCLAX Hooded Sweatshirt ($35)
Sweatshirt size (choose one):
Small | Medium | Large | X-Large | XX-Large

PCLAX UnderArmour Compression Tee ($30) SOLD OUT

Inside Lacrosse Magazine (optional):

Yes, I would like to receive a full year's subscription to
Inside Lacrosse Magazine for the discounted rate of $17.95.

Yes, I would like to extend my current subscription to
Inside Lacrosse Magazine for the discounted rate of $17.95.

Coupon Code (if none, leave blank)

Please note, you have the option of either paying in full, or paying a deposit of $175. If you are registering for more than one camp, you can either pay in full or pay a deposit of $175 for the first camp and an additional $75 for each additional camp. Registrations received after May 31, 2010 must be paid in full.

Credit Card Information:

Check one:

Visa
MasterCard
American Express

Name on card:

Card number (please include spaces):

Expiration date:

Amount to be charged:

Billing address if different from above:

Billing zip code if different from above:

By clicking the submit button below I realize that I am registering the player named above for the camps selected, and that all deposits and payments are refundable, less $100 of the deposit amount that is non-refundable, until 3/1/10. Standard camp cancellation & refund policy takes affect after 3/1/10, which is that all payments are final and non-refundable, unless cancellation is due to a health related emergency, in which case a refund, less deposit, may be processed with a note from a medical doctor, and that there are no refunds after June 30th, 2010. Final deposit for all camps is due May 31, 2010. I also attest that all of the information above is accurate and that the cardholder of the credit card listed above has full knowledge that this payment is being made.

You will receive the 2010 brochure in February.

If not paying in full you are responsible for arranging final payment. WE WILL NOT AUTOMATICALLY CHARGE THE BALANCE TO YOUR CREDIT CARD. You will need to contact us to do so. You can also pay your balance online at www.pclax.com.