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St. Xavier 2010 Lacrosse Camp
Deadline for entry is June 11, 2010
Camp placement is limited
Camp includes lunch
Cost $200.00
Refunds not available after June 18, 2010

Name:____________________________________________

Grade (2010-2011):____________________________________

School:___________________________________________

Position:__________________________________________

Years of experience:________________________________________

Address:__________________________________________

________________________________________________

Phone:___________________________________________

Email:____________________________________________

Print this form, mail it with your check for $200 (made out to ST. XAVIER HIGH SCHOOL) to:

ST. XAVIER HIGH SCHOOL
8860 Paw Paw Lane
Cincinnati, OH 45236

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Questions? E-mail us or call (859) 653-6788.