2024 Wilde Lake Field Hockey Camp Registration Form

The WLHS Boosters Club is proud to present the Wilde Lake Field Hockey Camp The camp is led by Head Field Hockey Coach Ginger Kincaid and will be held at Wilde Lake High School.

Wilde Lake Field Hockey Camp | August 5- August 9, 2024 | 5:00 - 7:30 pm

Registration Fee: ($125 USD)

After completing this form, you will be directed to a payment page where you can pay with a credit card or PayPal.

Parent/Guardian Name Parent/Guardian e-mail Parent/Guardian Phone Number Parent/Guardian Address

Emergency Contact Name Emergency Contact Phone Number

Camper Name grade level completed June 2024 school camper currently attends Camper Birthday

Does camper have any allergies or significant medical conditions? List allergies or other notable medical conditions Camper Registration Fee: ($125 USD)

**Waiver and liability release: The Wilde Lake Boosters Sports Camps and staff assume no liability for injuries to a camper as a result of normal participation in the program. I certify that my child is in good health and able to participate in sports activities. I will document any explanation of medications or physical limitations on this registration form in designated area above. We authorize the Wilde Lake Boosters Camp Coaches and Counselors to request and obtain any emergency treatment if necessary. **

I have read and agree to the above waiver and liability release

How did you hear about Wilde Lake Boosters Summer Camps? word of mouth/friend social media street sign in the area other