| 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 $485.00 Full Cost of all Summer Goalie Schools is $685.00 (The Florida Goalie School is $595.00) Balance of Camp due at Check In on First Day of Camp - Check or Cash only, no credit card.
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