Wilderness Adventure Camp Registration: Summer 2025 Parent/Guardian Full Name *Parent/Guardian Phone *Parent/Guardian Email Address *Player's Full Name *Player's Gender *BoyGirlPrefer not to sayPlayer's Age *Which local lacrosse program does your child play for?How did you hear about us?Word of mouthFacebook AdLocal Program AnnouncementsOtherWill you be attending our Wilderness Adventure Camp? *YesNoUSA Lacrosse Number *USA Lacrosse Numbers are Required and can be obtained by visiting: www.usalacrosse.comPayment SelectionIf you would like to pay via Check, Cash, Venmo or Zelle please email Support@earthlacrosse.com.Payment *Your card will be charged based on your selection aboveParental Consent *I have read and agree to the Earth Lacrosse Waiver, COVID-19 Waiver, and Code of Conduct. (All forms can be found under 'Online Forms' in the main menu). FinishPlease do not fill in this field.