Summer Camps

Child's Last Name*

Child's First Name*

Address*

Street Address City State ZIP Code

Primary Phone Number*

Secondary Phone Number (Optional)

E-Mail Address 1*

Enter Email Confirm Email

Secondary E-Mail Address (Optional)

Enter Email Confirm Email

Parents' Names

Gender*

Male
Female
Other

Birthdate*

Current Club / Team / Head Coach

Payment Options
Participants may pay by check or credit card. If paying by check, please make your check out to "LMSC" and mail it to LMSC, Box 360, Bryn Mawr, PA 19010. Be sure to include your childs' name on the check and note that this is for our summer camps. If you are paying by credit card, a bank fee will be added to your registration fee.

Payment Choice*

Please Select Desired Camp*

Travel Team Camp 1 - July 20-24 ($170)
Travel Team Camp 2 - July 27-31 ($170)
Intramural Camp a - July 27-31 ($170)
Intramural Camp 1 - August 3-7 ($170)
Intramural Camp II - August 10-14 ($170)
PeeWees Camp 1 - August 3-7 ($80)
PeeWees Camp II - August 10-14 ($80)

Bank Fee

Price: $0.00

Credit Card

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

ADDITIONAL COMMENTS

Please feel free to enter any additional comments here: