GREAT WESTERN LACROSSE CAMP
TRAVEL INFORMATION FORM

PLAYERS NAME _____________________________   Male__  Female__
Mode of Travel to Camp :.              
___-
AIR           ( must check one )
___- DROPPED OFF BY PARENT         
___- CAR DRIVEN BY CAMPER
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Arrival Airline______________________ Flight Number_________________

Arrival Time_______________________ Arrival Date___________________

Departing from what City?__________________________________________

Any Connecting City?______________________________________________
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Departure Airline_____________________ Flight Number____________

Departure Date_______________________ Departure Time___________
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Additional Information about my travel

                                                                                                                              _____     

                                                                                                                              ______    

I sign this without any coercion. By signing below, I am aware that the deadline for accepting airport transportation service to & from the lacrosse camp is no later than July 15. I am aware that the transportation fee of $35.00 is non-refundable after June 15 (girls) & July 1 (boys). I am aware  that the $35.00 fee is for round trip transportation between the airport and the Camp and that no partial payment for one-way trips will be honored or accepted.  I am also aware that the Camp and its Director are NOT responsible for my child, until my child, checks in at the Residence Hall at San Diego State University. I am aware that the Camp and its Director cannot be held responsible for any injuries that may occur to my child, during transport, when in route from the Airport to the University or from the University to the Airport. I am aware that the camp and its Director are not responsible for any camper injured while using his vehicle during the week of camp (which is against camp rules). I am also aware that the camps’ responsibility ends when the participant checks out of the University Residence Hall. I am also aware that the Camp and its Director are not responsible for my child during transportation or while the participant is at the airport or on the airplane.

Parents Signature_____________________________________________________

Print Name_____________________________________ Date__________________

Phone Number_____________________ Email______________________________

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Office Use Only – Do Not Write Below This Line

Travel Fee Paid___________________       Date Received___________________      Check Number____________________