Surge Elite LI Showcase Camp-Registration
1
LONG ISLAND SUM M ER SHOW CASE CAM P EXPLORE M ORE AT SURGEELITELAX.COM MAIL TO: 128 POINTE CIRCLE SOUTH CORAM, NY 11727 SURGEELITELAX@GM AIL.COM KARA MUPO AND PRESENT JULY 30TH OPEN TO ANY AND ALL HIGH SCHOOL GIRLS GRADUATING IN 2018-2020 9AM-12PM 1PM-4PM BLUE (2020) VOLT (2018/2019) FEATURING COACHESFROM: ARMY,COLUMBIA, MARQUETTE, MOUNT ST. MARY'S, OHIO STATE, STONY BROOK, UMASS, VANDERBILT, WAGNER AND WILLIAM & MARY VENUE DETAILS: ST. JOSEPH'S COLLEGE 246 Service Road Patchogue, NY 11772 2X NATIONAL CHAMPION & CURRENT TEAM USA MEMBER SESSION: (CIRCLE ONE) $155.00 NAME: EMAIL: EM ERGENCY CONTACT: SURGE ELITE LACROSSE ACADEM Y EM ERGENCY CONTACT PHONE: LIABILITY RELEASE: IN CONSIDERATION OF MY ATTENDANCE, I, THE UNDERSIGNED PARTICIPANT INTENDING TO BE LEGALLY BOUND, DO HEREBY FOR M YSELF,M Y HEIRS, EXECUTORS AND ADM INISTRATORS , WAIVE, RELEASE AND FOREVER DISCHARGE ANY AND ALL RIGHTS AND DAMAGES WHICH I OR ANY OF US M AY HEREAFTER HAVE AGAINST SURGE ELITE LACROSSE ACADEM Y , ST. JOSEPH'S COLLEGE OR ITS RESPECTIVE OFFICERS, AGENTS, REPRESENTATIVES, SUPPLIERS/ VENDORS AND/OR ASSIGNED FOR ANY DAMAGES WHICH MAY BE SUSTAINED OR SUFFERED BY ME IN CONNECTION WITH OR ENTRY IN AND/OR ARISING OUT OF MY TRAVEL TO PARTICIPATE AND RETURN FROM THE FACILITY. OR SUBMIT TO: PARENT SIGNATURE: PAYM ENT DETAILS: BALANCE DUE APRIL 30TH
-
Upload
lauren-murray -
Category
Documents
-
view
72 -
download
1
Transcript of Surge Elite LI Showcase Camp-Registration
LONG ISLAND SUMMER SHOWCASE CAMP
EXPLORE MORE AT
SURGEELITELAX.COM
MAIL TO:
128 POINTE CIRCLE SOUTH
CORAM, NY 11727
KARA MUPO
AND
PRESENT
JULY 30TH
OPEN TO ANY AND ALL HIGH SCHOOL GIRLS GRADUATING IN 2018-2020
9AM-12PM 1PM-4PMBLUE (2020) VOLT (2018/2019)
FEATURING COACHES FROM: ARMY, COLUMBIA, MARQUETTE, MOUNT ST. MARY'S, OHIO STATE, STONY BROOK, UMASS, VANDERBILT, WAGNER AND WILLIAM & MARY
VENUE DETAILS:ST. JOSEPH'S COLLEGE
246 Service RoadPatchogue, NY 11772
2X NATIONAL
CHAMPION & CURRENT
TEAM USA MEMBER
SESSION: (CIRCLE ONE)
$155.00
NAME:
EMAIL:
EMERGENCY CONTACT:SURGE ELITE LACROSSE ACADEMY
EMERGENCY CONTACT PHONE:LIABILITY RELEASE: IN CONSIDERATION OF MY ATTENDANCE, I, THE UNDERSIGNED PARTICIPANT INTENDING TO BE LEGALLY BOUND, DO HEREBY FOR MYSELF, MY HEIRS, EXECUTORS AND ADMINISTRATORS , WAIVE, RELEASE AND FOREVER DISCHARGE ANY AND ALL RIGHTS AND DAMAGES WHICH I OR ANY OF US MAY HEREAFTER HAVE AGAINST SURGE ELITE LACROSSE ACADEMY , ST. JOSEPH'S COLLEGE OR ITS RESPECTIVE OFFICERS, AGENTS, REPRESENTATIVES, SUPPLIERS/VENDORS AND/OR ASSIGNED FOR ANY DAMAGES WHICH MAY BE SUSTAINED OR SUFFERED BY ME IN CONNECTION WITH OR ENTRY IN AND/OR ARISING OUT OF MY TRAVEL TO PARTICIPATE AND RETURN FROM THE FACILITY.
OR SUBMIT TO:
PARENT SIGNATURE:
PAYMENT DETAILS:BALANCE DUE APRIL 30TH
![[Showcase];[US navy social media recruiment showcase]](https://static.fdocuments.net/doc/165x107/55a19fe11a28ab3e5c8b477b/showcaseus-navy-social-media-recruiment-showcase.jpg)
