Thursday May 20th 2010 Clinic 5:00 PM-6:00 PM

BlueClaws Game to Follow at 6:35 PM $7.00 Includes Clinic, BlueClaws Game and T3 Lacrosse Gift

Minilaxers Clinic (Grades K-2nd) Boys and Girls

Stick and Mouth Guard

Beginners Clinic (Grades 3-High School) Separate Groups by Age

and Gender Stick and Mouth Guard

Intermediate Clinic (Grades 3-High School) Separate Groups by Age

and Gender Stick, Gloves, Helmet/Goggles and

Mouth Guard

Clinic Emphasizes Catching, Throwing, Ground Balls, Stick Skills, Defense and More

The Clinic is Taught by T3 Coaches who are Highly Qualified to

Teach Players and Create a Positive Learning Environment For More Information on T3 Lacrosse Visit

www.t3lacrosse.com

Participants Name:____________________Age:___Gender:__Skill Level: Minilaxer/Beginner/Intermidiate

Parents Name: ________________________________________

Address: _____________________________________________

City: ___________________ State: _________ Zip: ___________

Day Phone: ( ) .

E-Mail (for confirmation): _________________________________

Is the Participant a Member of US Lacrosse: Yes No

Prices are Per Participant

____ x $7.00 Child $_______

____ x $9.00 Adult $_______

Adult Ticket is for BlueClaws Game

TOTAL $_______

• Child Price Includes Clinic, BlueClaws Ticket and T3 Gift • Parents Wishing to sit with There Child During the BlueClaws Game Should

Purchase Tickets with Their Childs Via This Form

• Seats Are Based on Availability and No Refund After Purchase

OFFICE NOTES: Account #___________ Initial_____ Date_____

PAYMENT INFORMATION

___ Cash Check #: _______

Card #:______________________

Expiration: _ / _ . CID: ______

Mail to: BlueClaws Lacrosse Clinic, 2 Stadium Way, Lakewood NJ 08701 Phone: 732-901-7000 x 162 Fax: 732-901-3967 Attn: Ryan