This Application Can Be Used for All Camps Use this form to sign up for all camps offered by Bill Pilat's Lacrosse Camps, Inc. Name of Camp Applying For:____________________________________________________ Dates of Camp:_______________________________________________________________ Name of Camper:_____________________________________________________________ Address:_____________________________________________________________________ City:___________________________________State:_____________Zip:_________________ Phone Number:__________________________Email Address:________________________ Height:__________Weight:__________Position__________Years Experience____________ How did you hear of camp?_____________________________________________________ Age_________School_________________Graduation Year from High School:_________ Roommate Request:_________________________________________________________ $300.00 Non Refundable Deposit Included? (add $33.00 to deposit for "The Ball Stops Here", goalie instructional video) Full Cost of all Field Camps is $465.00 Full Cost of all Summer Goalie Schools is $675.00 (The Florida Goalie School is $575.00) Balance of Camp due at Check In on First Day of Camp Application Instructions 1. Print the Camp Application and fill in the information 2. Send application to: Bill Pilat Roanoke College Lacrosse Office Salem, VA 24153 Phone Number: 540-375-2340 3. Include Non Refundable check for $300.00 to secure spot at camp. ($33.00 extra for "The Ball Stops Here", goalie instructional DVD - to be handed out at check in of camp) 4. Checks made payable to: Bill Pilat's Lacrosse Camps, Inc. 5. The camper will receive a confirmation notice within 1 week of receipt of camper deposit. DVDs will be given to campers at check in on the first day of camp. 6. Any questions about camp click here