Online Registration for Ages 11 and Under

Which camp would you like to register for?

Which camp location?

Participant's first name:

Participant's last name:

Age:

Sex:

Male   Female

Playing division:

Home club (indoor):

Home club (outdoor):

Goalie:

Jersey size:

S M L XL

Address:

City:

Postal code:

Phone number:

Emergency number:

BC medical number:

Special medical conditions:

How did you hear about the Rage to the Cage Elite Lacrosse Camps?

Email address:

The registered participant and parents/guardians hereby agree that the Rage to the Cage Lacrosse Camp and its administrators will not be held responsible for any accidents or loss however caused and agrees to release all instructors, staff, and sponsors from all claims or damages, which may arise as a result of/or by reason of such accidents or loss.

The price of the camp is:

$250 per player at the Burnaby 8 Rinks
$225 per player at the Kensington Arena
$175 per goalie

Early Bird Special:

$225 For Players At The Burnaby 8 Rinks
$200 For Players At The Kensington Arena
$150 For Goalies

(EARLY BIRD REGISTRATION DUE)

SPRING BREAK DUE BY MARCH 1 2013 (for Burnaby 8-Rinks)

SUMMER BREAK DUE BY JUNE 1 2013 (for Kensington Arena)

SUMMER BREAK DUE BY JULY 1 2013 (for Burnaby 8-Rinks)

We accept payment by cheque or by cash in person only. There is a $15 service charge for bounced cheques. Make cheques payable to "Rage to the Cage Lacrosse Camp" and mail to:

1220 Dunlop Ave.
Burnaby, BC
Canada V5B 3X1