Registration Form for Peak Performance Lacrosse

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Just fill in the following information, print it out, and
mail, along with A $200 non refundable deposit or payment in full of $560 to:

Peak Performance Lacrosse Camps
P.O. Box 263, West Granby, CT 06090

Name
Address
City
State	Zip
Home Phone
Parent Business Phone
Parent Cell phone
Email (Parent's)
Date of Birth	Age (as of July 1, 2008)
Height	Weight
School
Present Grade
Position (choose one)	Years Played
Roommate Preference	*(reciprocal choices 1st priority)*
	I certify that the applicant is in good physical condition and may participate in the Peak Performance Lacrosse Camp.
Parent’s Signature	Date
	Check week(s) you wish to attend: June 28-July 1 July 5-8
	If my first session choice is full, please move me into the other session.