Girls Lacrosse Registration

Langley Girls Lacrosse Registration
June 22 - June 24

* Indicates required field

PARENT Name *

First

Last

CAMPER Name *

First

Last

Phone Number *

Camper Grade (Fall 2020) *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Please list any medical conditions the staff needs to be aware of during camp. *

I hereby state that my child is in good health and has my permission to participate in all activities. I authorize Langley Football staff to provide emergency first aide in the event of sickness or injury. My signature below releases the camp, sponsor, counselors, and director from any and all liability.

Parent or Guardian initials releasing liability *

Submit and Proceed to Online Payment Option

If you do not complete the payment online,
please send a check to
Langley Girls Lacrosse Camp c/o Beth Longo
Langley High School
6520 Georgetown Pike
McLean, VA 22101

Thank you to our 2019/20 gold corporate sponsors....