Blue Wave Lacrosse Camp 2018
The Westhill Varsity Boys’ Lacrosse Coaches, Mike Leuze and Rocky Garofalo, join with Blue Wave to bring you an instructional lacrosse camp with an emphasis placed on fundamentals!
Registration: Mail-in registration form on back of this page with check by June
15 to be guaranteed a t-shirt.
Dates: June25–June 28 Monday – Thursday, 8am-11am.
Ages: Boys Grades 2-12th (grade entering fall 2018)
Camp is divided by age and skill level
Location: Santaro Park fields.
Cost: $80 - per each individual camper
includes a camp t-shirt, contests, and awards.
Equipment: All equipment is required. Bring a water bottle and cleats. You will be given two hours of skills instruction along with one hour of scrimmage play each day.
Coaches: Westhill’s Varsity Boys’ Lacrosse Coaches along with former Westhill Lacrosse players with collegiate level experience will provide instruction covering all aspects of the game:
Camp objectives:
** Develop fundamental lacrosseskills
** Guidance on proper technique
** Have FUN playing lacrosse!
Blue Wave LACROSSE CAMP REGISTRATION FORM - 2018
***If you are not a member of Blue Wave lacrosse, you will need to sign waiver and show proof of
insurance coverage. Please attach a copy of your insurance coverage card to your registration.
Please Print Information
Participant Information:
Last Name:Birth Date:
First Name:Grade entering in fall 2018:
Parent/Guardian Name 1:
Parent/Guardian Name 2:
Address: School:
City:Zip Code:
Home Phone No.:E-Mail Address:
Emergency Name:Emergency Phone No.:
Parent/Guardian Signature:Date:
My signature indicates that my child and I have read the Blue Wave Standards of Conduct and will abide by them.
Please mail in registration no later than June 15th, 2017. We will accept late registrants although we can’t guarantee a t-shirt after registration deadline.
Make checks payable to:
Mike Leuze
4034 Gates Rd.
Jamesville, NY 13078Questions call: 315-682-1854
T-Shirt Size: (circle) YS YM YL S M L XL XXL
YOUTH PERMISSION WAIVER AND REGISTRATION FORM
I understand that participation in the Blue Wave Lacrosse Camp involves rigorous physical activity and risks of serious physical injury or even death,
and I acknowledge and assume these risks. I hereby give consent for emergency
transportation and treatment in the event of illness or injury. I hereby accept
responsibility for payment of any emergency transportation or treatment on behalf
of the participant. I further certify the participant is in good physical condition,
and has no medical or physical condition that would restrict his/her participation in
this event.
(Parent/Guardian) ______does hereby agree to
release and hold harmless Blue Wave and its staff from and against any and all
liability for loss, damages, claims, or actions (including costs and attorney fees) for
bodily injury and/or property damage, to the extent permissible by law, suffered by
me and/or my child arising from his/her participation in the BLUE WAVE program(s).
Parent, Guardian Signature ______Date:______