Player's First Name:
Player's Last Name:
Age:
Date Of Birth:
Check one:
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):
Experience (seasons played):
Which division do you which to play in?
Have you attended a
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 17-21 ($595 overnight; $475 day)Player's Choice Girl's One-On-One Goalie Camp: July 17-21 ($595 overnight; $475 day)
Player's Choice Hannah Nielsen Girl's Elite Offense Camp: July 21-24: ($595 overnight; $475 day)Player's Choice Amber Falcone Girl's Elite Defense Camp: July 21-24: ($595 overnight; $475 day)
Player's Choice Morgan Lathrop Elite Goalie Camp: July 21-24: ($595 overnight; $475 day)
Player's Choice Girl's Sarah Albrecht Extreme Offense Camp: Aug 4-7 ($625 overnight; $495 day)
Player's Choice Girl's Gina Oliver Extreme Defense Camp: Aug 4-7 ($625 overnight; $495 day)
Player's Choice Girl's Logan Ripley Extreme Goalie Camp: Aug 4-7 ($625 overnight; $495 day)
Boys Camps: Player’s Choice Paul Rabil Pro Offense Camp : July 25-28: ($625 board, $495 day)
Player’s Choice Brodie Merrill Pro Defense Camp
: July 25-28: ($625 board, $495 day)
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Check one:
Roommate Request:
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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):
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Camp merchandise (optional):
PCLAX Hooded Sweatshirt ($35)
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PCLAX UnderArmour Compression Tee ($30)
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Inside Lacrosse Magazine (optional):
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:
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 3/1/11. Standard camp cancellation & refund policy takes affect after 3/1/11, 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, 2011. Final balance for all camps is due May 31, 2011. 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 2011 brochure in March.
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/balanceform.html .
