LaS

alle

Col

lege

Hig

h S

choo

lc/

o Q

uic

ksti

ck In

ten

sive

Lac

ross

e C

amp

, In

c.86

05 C

hel

ten

ham

Ave

nu

eW

ynd

mo

or,

PA 1

9038

LAC

RO

SSE

CAM

PFO

RTH

EFU

TU

RE...

Last Summer at QSIAuthorization

Medical TreatmentThe undersigned authorize andgrant permission to the staff ofQSI, US Lacrosse, and/or thecamp athletic trainer, to adminis-ter needed first aid to my minorchild through a medical staff oftheir choice, customary med-ical/athletic training attentionand transportation, includingmedical treatment at a hospital incase of emergency. I understandevery effort will be made by QSIto contact me in the event of anemergency, and if I cannot bereached, I give my consent to physicians, paramedics and trainers to per-form any necessary emergency treatment to my minor child.

�________________________________________________Mother’s/guardian’s signature Emergency phone number

�________________________________________________Father’s/guardian’s signature Emergency phone number

__________________________________________________Other emergency contact person Emergency phone number

__________________________________________________Name of Child’s Physician Phone number

__________________________________________________Allergies

Asthma: ❏ Yes ❏ No Inhaler: ❏ Yes ❏ No

__________________________________________________Medications

Insurance Information:Coverage for accidental injury is required for all camp participants. In mostinstances, family health insurance is adequate. You must complete the fol-lowing:

__________________________________________________Health Insurance Company Ins. Co. Phone number (required)

__________________________________________________Policy Number Group Number

__________________________________________________Policy Subscriber’s Name

Are you or your child a current member of US Lacrosse? If so, provideyour membership ID# for additional free insurance coverage _______

Sponsored by:Competitive Edge Outfitters, Wave One Sporting Goods, La Salle College High School, STX®, Nike & US Lacrosse

June 15–18, 2009June 22–26, 2009

ContactsOffice: 215.233.2911 ext. 4380

215.402.4380

www.qsilaxcamp.comor

www.lschs.org/laxcamp

LACR

OSSE

CAM

PF

OR

TH

EF

UT

UR

E...

Boys CampAges 5-16

Over 300Campersin 2008

We expect anothercrowd so send

your registrationin early!

Girls CampAges 5-13

PR

SR

T S

TD

US

PO

STA

GE

PAID

BE

NS

ALE

M,

PAP

ER

MIT

#18

2

The La Salle High School Camp Advantages:Facility Advantages:

• Over 4 full fields • Separate men’s and women’s camps • 3 gymnasiums for inclement weather

• Open cafeteria to purchase food • 2 indoor and outdoor pools for hot day relief

• Air conditioned lecture hall room for college guest speakers • Entertaining video sessions in lecture hall

• Live DJ music • Ease of paying online using Visa/Mastercard.

Coaching Advantages: Mr. Bill Leahy – Head Coach La Salle College High SchoolFreshmen Guidance Counselor Coach Leahy is in his 18th year as Head Coach at La Salle College HighSchool. He has achieved an overall record of 304 W - 58 L (216-3 in theCatholic League) which includes the 2004/2008 PA State Championship, 2005& 2007 State Finalist appearances, 2006 Final Four appearance, and 14Philadelphia Catholic League Championships. He was recognized by thePhiladelphia Inquirer as “Coach of the Year” in both 1997 and 2004. Bill is a1992 graduate of Loyola College in Maryland where he played and coachedmidfield and was considered a face-off specialist. From 1995-1996 he playedforward for the Philadelphia Wings.

Mr. Tony Resch – Head Coach Philadelphia BarrageAthletic Director, English Teacher Mr. Resch is the Athletic Director and Defensive Co-ordinator for La SalleCollege High School and its Varsity Lacrosse team. His experience in the gameof lacrosse is extensive as he was a player for Penn Charter High School andan All-American at Yale University. After college he went on to play for theUnited States World Team and to be the Head Coach at the William PennCharter School and for Philadelphia's professional indoor team the Wings.Last summer Mr. Resch served as the Head Coach of the two time WorldChampion (MLL) Philadelphia Barrage. He earned the 2006 /2008 MLL“Coach of the Year” award along with his team championship.

Megan Fortunato – Women’s Camp DirectorCoach Fortunato is in her 10th year as a Quickstick Lacrosse Camp Director. Agraduate of the University of Delaware where she won women’s lacrosse hon-ors as 1st team America East and 1st Team All Regional American. Currentlyshe is coaching at Upper Moreland High School.

La Salle Lacrosse Advantages: • State Championships in 2004 & 2008

• 2005 & 2007 State Championship Finalist • 2006 Final Four Participant

• State Rankings: 2004 #1, 2005 #2, 2006 #3 , 2007 #2, 2008 #1• National High School Ranking in 2004 (#13), 2005 (#21) , 2007 (#11), 2008 (#1)

• 24 High School All-Americans • 14 Philadelphia Catholic Championships since 1992

• 41 High School All-State Awards • 80 Collegiate Division I Scholarships

• 152 High School All-Catholics Awards • 87% Overall winning percentage (304 W – 58 L)

• 99% PCL winning percentage (216 W – 3 L)

Camp Advantages

Lacrosse Camps

US

Lacr

oss

e M

agaz

ine

#1 H

igh

Sch

oo

l Tea

min

th

e N

atio

n!

The E

xplo

rers

(31-

2) p

osted

eye-

open

ing

num

bers

that

were

just

to h

ard

for

us to

igno

re. I

n ad

ditio

n to

win

ning

mor

ega

mes

than

any

oth

er te

am in

the

coun

try th

is ye

ar, L

aSall

eco

ntin

ued

its d

omin

atio

n of

the

Phi

lade

lphi

a Ca

thol

icLe

ague

(PCL

) by

winn

ing

its fi

fth s

traig

ht le

ague

cro

wn a

nd14

th in

the

past

16 y

ears

. Coa

ch B

ill L

eahy

’s sq

uad

then

adde

d bo

th th

e Ea

stern

Pen

nsylv

ania

Scho

lastic

Lac

ross

eAs

socia

tion

(EPS

LA) c

ham

pion

ship

and

the

Keys

tone

Cup

state

title

to it

s 20

08 re

sum

é. Th

e pr

ogra

m h

as a

mas

sed

awh

oppi

ng 1

38 v

ictor

ies o

ver t

he p

ast f

ive s

ears

ons.

–US

Lacr

osse

Mag

azin

e

Camp Welcome

Dear Lacrosse Camper:It is our pleasure to invite you to our annual co-ed La Salle Lacrosse CampSeason! Join us and an outstanding teaching staff for a week of fun, creative,and intensive lacrosse instruction. One-on-one training, challenging compe-titions, informative lectures, creative drills, high fidelity video sessions, andfirst-rate facilities all add up to a great lacrosse experience. Each instruction-al period is tailored with one goal in mind – to make you a better lacrosseplayer. So, please join us this summer, and be a part of the annually sold-outLa Salle Lacrosse Camp.

Sincerely,

Bill Leahy Tony Resch Megan FortunatoCamp Directors

About the CampLa Salle Lacrosse Camp is both educational and fun! During the early daysin the week campers receive personal instruction from their “stickwork” groupcoaches so as to improve the campers’ personal game. Later in the week thecamp focus shifts toward team skills as players are placed on a team whichwill compete, by league, in the “Camp Tournament.” Each day after lunch aguest speaker or big-screen video will address the campers. We will alsohave numerous visits by our sponsors, and as always, end our day with thenow famous La Salle camp raffle. We are very proud of our creative coachingactivities and honored to teach more than the game of lacrosse. We alsofocus on the game’s Native American history, which speaks of sincere leadership, basic values, and respect. We work with campersindividually and in small groups according to their age, size, and ability; therefore, no experience is necessary and beginners are mostwelcome.

EquipmentEach camper must provide lunch (for day camp) and all of his/her own equip-ment including stick, lacrosse helmet, cleats, arm and shoulder pads, glovesand waterbottles. Mouthguards are mandatory! (Girls only need stick, eyegoggles, and mouthguard).

Health CareRoutine health care is provided by oursports medicine staff of certified athletictrainers. However, staff trainers do notdispense aspirin or similar medication.

Staff trainers and camp directors willimmediately call parents or identifiedcontact if there is an emergency or med-ical concern. Serious emergencies willresult in immediate 911 contact.

Camp Locations Registration

By MailTo enroll a camper a parent or guardian should complete all parts of the registration form and send it with full payment.

By InternetVisit www.qsilaxcamp.com or www.lschs.org/laxcamp and follow the secureregistration and payment instructions. Registration online reserves you aplace at camp. Confirmation is automatic via email at time of regis-tration/payment.

Fees & DiscountsFees:The Day Camp fee is $250 for La Salle and $200 for the S4 @ La Salle HighSchool which covers camper instruction, STX® reversible jersey, lanyard, stick-er, insurance, raffle items, and give aways. If you register by mail, the fullfee must accompany the registration form. If you register via theinternet, please pay online with Visa or MasterCard.

Discounts:A $20 total discount is deducted fromthe total price for families that registermore than one child at the same camp.

RefundsAll cancellations must be received inwriting. Full refunds will be made forcancellations received at least fifteendays before camp begins. After thisdeadline, a $25 fee will be deducted foradministrative expenses. If no notice isreceived, a $50 fee will be deducted. Forpurposes of a refund, the postmark of thecancellation letter will determine the date received by the QSI office. Norefunds for campers who leave before the last day of camp.

Important Notes:All applications will be considered in the order they are received. Enrollment islimited, so early registration is encouraged. Walk-up registrations on the daythe camp opens are accepted as long as the camp limit is not sold out. Everyyear since 1991, the La Salle Lacrosse Camps have grown! For five consecu-tive years the La Salle camp has enrolled over 200 campers! We believe thisgrowth has occurred because we offer a professional high quality camp expe-rience. In order to maintain this level of care we will now stop accept-ing enrollment once 200 campers’ registration forms have beenaccepted. This will occur based on a first-mailed, first received basis– so send that application in early!

TO BE COMPETED BY PARENT OR GUARDIAN. TYPE OR PRINT IN INK ONLY.FILL IN ALL SECTIONS. This form may be copied for additional applications.You may also register for more than one La Salle summer camp. Your pay-ment, in full, must accompany this registration form.

2009 LocationsPlease check appropriate camp(s) you are attending this summer.

Day Camps ($250)❒ La Salle High School

June 22-26, 20099:00 a.m.-2:30 p.m.

_____________________________________________________Last name First name Middle initial

❒ Boy ❒ Girl

_____________________________________________________Applicant’s Social Security # (optional–used for emergency only) Birth date (m/d/y)

_____________________________________________________Age Height Weight

_____________________________________________________Home address (no. and street or box no.)

_____________________________________________________City State ZIP code

_________________________/___________________________Cell phone Home phone

_____________________________________________________E-mail

_____________________________________________________Current youth league

_____________________________________________________School attending fall ’09

____________________Years of experience

Applicant’s grade next fall (circle one) K 1 2 3 4 5 6 7 8 9 10 11

Check position: ❏ attack ❏ defense ❏ goalkeeper ❏ midfield

Group me with this friend ______________________________________

2009 Registration Form

Evening Camps ($200)❒ S4 @ La Salle H.S.

June 15-18, 20095:00-8:30 p.m.

Day Camp

Authorization

To apply for camp, complete both parts and mail to:

La Salle College High Schoolc/o Quickstick Lacrosse Camp

8605 Cheltenham Avenue, Wyndmoor, PA 19038or visit

www.qsilaxcamp.com or

www.lschs.org/laxcampMake Checks Payable to:

Quickstick Intensive Lacrosse Camps, Inc.

Parents: Did you sign in all highlighted areas?STX® –Try your hand at–“The Hardest Shot Contest” –Equipment Give Away–

Waiver and Release of LiabilityThe undersigned, individually and as parents and/or guardians of (insert child’sname) � _____________________________, a minor child, ask thathe/she be admitted to participate in the sponsored activities of Quickstick IntensiveLacrosse Camp ("QSI") and that he/she will only participate in those US Lacrossecompetitions and activities sponsored by QSI . We verify that the child has been orwill be examined by a licensed physician prior to coming to this camp, or we know-ingly decide not to have the minor examined, and we state that the child is physi-cally and psychologically able to participate fully, except as to the following limita-tions (none will be assumed unless listed)

� _____________________________________________________. In consideration of such admission, we do hereby agree to release, discharge,indemnify and hold harmless US Lacrosse and Quickstick Intensive Lacrosse CampInc., including any officers, directors, agents, coaches, employees, representatives,volunteers, and all sponsors of this event including La Salle High School and theowners of any fields on which the camp is conducted. The parties mentioned aboveshall not be liable for any injury, loss of life and from all causes, liabilities, dam-ages, claims or demands whatsoever on account of any injury or accident involv-ing the said minor arising out of the child’s attendance at lacrosse camp or in thecourse of competition and/or activities held in connection with the camp, whetherdue to negligence or any other cause. We understand and accept that the risk of cat-astrophic injury, paralysis and even death is possible while training for or playingthe sport of lacrosse. We understand that no one associated with this camp willassume the child’s medical or dental expenses incurred or other damages as aresult of participation. QSI is also not responsible for damage to or theft ofany equipment or personal belongings during camp.

Both signatures requested. If only one parent or guardian signs below, that person is informing QSI that the parent or guardian signing below has legal custody, or is authorized to sign by someone having legal custody, and that any oneelse having legal custody of the child has been consulted concerning the childattending this camp. Parents or guardians must sign even if the child is eighteenyears of age. The child must also sign.

� ______________________________________________________Mother’s/guardian’s signature

� ______________________________________________________Father’s/guardian’s signature

I agree to abide by all of the rules of the camp, will be respectful to the staff andmy fellow players and will at all times show good sportsmanship.

� ______________________________________________________Player/camp participant’s signature

La Salle High SchoolDates: June 22-26, 2009Time: 9:00 a.m.-2:30 p.m. Ages: Boys 5-16 & Girls 5-13Fee: $250

Evening CampS4 @ La Salle High SchoolDates: June 15-18, 2009Time: 5:00-8:30 p.m.Ages: Boys 11-16Fee: $200

La Salle High School: 2004 & 2008 State Champions2004–2008 Final Four

Day CampLa Salle High School

8605 Cheltenham Ave., Wyndmoor 19038Date: June 22-26, 2009 from 9:00 AM to 2:30 PM (Boys & Girls)

The original La Salle Lacrosse Camp location! Since 1993 boys and girls have beenenjoying camp at La Salle and our camp has grown every year. This camp highlightsstickskills, team concepts, and the much anticipated camp tournament. Campersenjoy live DJ music on the field, lunch for purchase in the school cafeteria, guestspeakers in the lecture hall, and a high fidelity action packed video session in the“star trek” room. The last four years this camp has SOLD OUT with over 225total campers…so send your registration in early!

Evening CampS4 @ La Salle High School

8605 Cheltenham Ave., Wyndmoor 19038Date: June 15-18, 2009 from 5:00 PM to 8:30 PM (Boys Only)

S4 is a specialty lacrosse camp designed to focus on stickwork, shooting, speed andstrength. Campers will experience specific drills and exercises to dramaticallyimprove these key areas. This camp is for intermediate and advanced playersONLY.

Camp Descriptions

Visit www.mapquest.com and input above addressesfor accurate directions.

9:00-9:15 Arrival9:15-9:30 Warm Up Exercises & Introductions9:30-10:00 Morning Skill Session I10:00-10:45 Morning Skill Session II10:45-11:30 Morning Games11:30-12:00 Lunch12:00-12:30 Video Room Session12:30-1:00 College Coach Guest Speaker1:00-2:15 Afternoon Game2:15-2:30 Daily Wrap Up, Raffle & Pick Up

Schedule