| BOYS SUMMER LACROSSE CAMP Name_________________________________ Street_________________________________ City______________________Zip__________ Daytime Phone_________________________ Evening Phone_________________________ Cell Phone____________________________ E-Mail Address_________________________ Age______Grade________ Date of birth____/____/____ Parent’s Name____________________ Course Name_BOYS SUMMER LACROSSE CAMP Beginning Date_JULY 7 Day:TBD Mail to: Community Education Office Orchard Park High School 4040 Baker Road Orchard Park, NY 14127 Make checks payable to: Orchard Park Community Education |