Camp Registration 2017-06-17T06:44:00+00:00

2017 Ladies Pope Lacrosse Camp K-8 Registration Form

July 19th – 21st 9am to 1pm each day Hightower Middle School
Cost is $ 125.00, which includes t-shirt and Pinnie
Camp will be held at the athletic fields behind Hightower

What to bring: Campers should dress comfortably in shirt/shorts, cleats, mouth guard, and goggles are mandatory. Please bring water and snack as they will not be provided?

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Parent / Guardian Contact Information


Medical/Allergy Information

My child has exercise induced asthma. Please watch his breathing.
My child is allergic to Bee Stings and carries an Epi-pen.
My child does NOT have asthma or other allergies that require medical attention, nor any other serious known medical issues that camp staff should be made aware of to ensure safety and proper treatment if a problem were to arise.

If a reaction requires emergency treatment , he:

Carries emergency medicine and can administer his medicationNeeds assistance administering the medication


Any other pertinent information in regard to any medical or health issues:

Emergency, Medical, and Public Relations Release:

I hereby authorize the Directors of PLLBC (POPE LADIES LACROSSE BOOSTER CLUB) to act for me according to their best judgment in any emergency requiring medical attention. I know of no medical or physical condition which affects my child's ability to safely participate in this camp. I understand that I will be fully responsible for any injury that may occur at this camp.

I HEREBY RELEASE, DISCHARGE, COVENANT NOT TO SUE, AND AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS PLLBC (POPE LADIES LACROSSE BOOSTER CLUB) ITS RESPECTIVE ADMINISTRATORS, DIRECTORS, AGENTS, OFFICERS, MEMBERS, VOLUNTEERS, AND EMPLOYEES, OTHER PARTICIPANTS, ANY SPONSORS, ADVERTISERS, AND OWNERS AND LESSEES OF PREMISES ON WHICH THE ACTIVITY TAKES PLACE (EACH CONSIDERED ONE OF THE "RELEASEES" HEREIN) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON THE MINOR’S ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS, AND FURTHER AGREE IF, DESPITE THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, INDEMNITY AND PARENTAL CONSENT AGREEMENT, I, THE MINOR, OR ANYONE ON THE MINOR’S BEHALF MAKES A CLAIM AGAINST ANY OF THE RELEASEES, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES FROM ANY LITIGATION EXPENSES, ATTORNEY FEES, LOSS, LIABILITY, DAMAGE, OR COST WHICH THE RELEASEES MAY INCUR AS THE RESULT OF ANY SUCH CLAIM.

PLEASE NOTE: All day campers are expected to show respect for coaches and fellow camper. If at any time a camper does not follow camp rules, he may be excused for the remainder of camp by the Camp Director or his designee, and no refund will be given. Campers are expected to model sportsmanship, courtesy, respect, and proper manners throughout the camp. Our goal is for all Lady Hounds to be model citizens and to represent themselves, their families, and our school in a first class manner. GO Hounds!

Mail registration form to:
Payable to PLLBC
2740 Harper Woods Drive Marietta, GA, 30062