Register FALL Clinic

2016 FALL ONLINE REGISTRATION

Check one of our FALL OUTDOOR SESSIONS:

Parent or Guardian Name

Child's Name

Child's Grade

Address

City

State

Zipcode

Home Phone

Emergency Phone

Your Email (required)

Check your preferred sessions (required)
 Session: 1: 12:00 - 1:15 Session 2: 1:30pm - 2:45pm

A $100.00 non-refundable deposit must accompany this application.

CHECKMATE LACROSSE TEACHING LACROSSE FOR 25 YEARS CHECKMATE LACROSSE FOCUSES ON FUN, FUNDAMENTALS, SPORTSMANSHIP AND IMPROVING YOUR GAME.

LIVE. LOVE.LEARN LACROSSE

I certify that the individual named above is in good health, and able to play in all camp activities. I hereby release and discharge the School, the camp staff, and affiliated entities from and against all liability in connection with my child’s participation in the camp.Thanks for choosing CHECKMATE LACROSSE. Should you have any questions please call 516-662-2299.