GREAT WESTERN
LACROSSE CAMPPLAYERS NAME _____________________________________________
Male_________ Female_________
Camp Attending
______________________________________
Arriving at Camp
I do not need incoming service from the
Airport_____________
Arrival Airline______________________________ Flight Number_________________
Arrival Date:___________________
Arrival Time__________________
Departing for Camp from what City?__________________________________________
Any Connecting City?______________________________________________
Departing from Camp
I do not need return service to the
Airport_____________
Departure Airline_____________________________ Flight Number________________
Departure Date________________ Departure Time_______________
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Additional Information about my travel
________________________________________
_______________________________________________________________________
_______________________________________________________________________
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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 1st. I am aware that the transportation fee of $35.00
is non-refundable after July 1. I am aware that the fee is $35.00 for round
trip transportation, $20.00 for one-way, between the airport and the Camp. 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 airport transportation or while the participant is at the airport or on the
airplane. I am also aware that the Camp and its Director are not responsible for
the camper if they travel home from camp with someone not authorized to remove
them from Camp. As a parent, you have advised your child not to leave the Camp
without the authorized person.
Parents Signature__________________________________________________________
Print Name____________________________________________ Date_________________
Phone_____________________ Parent Email____________________________________
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