Camp Overview
Youth & Middle School:
www.bdlax.com
Coaching Staff
Danielle Gallagher, Director
Danielle Gallagher is one of the top women’s
lacrosse players in the world. She is a graduate of
the College of William and Mary, where she was a
2 time All American. Gallagher was the assistant
lacrosse coach at both the University of Notre Dame
and Colorado College. While coaching at both of
these programs, these teams made it to their 1st
ever NCAA appearances. She was named to the
U.S. National team in 1987 and has played on four
World Cup teams (1993 Edinburgh, Scotland; 1997
Edogawa, Japan; 2001 High Wycombe, England;
2005 Annapolis, MD). In 2006 Danielle was inducted
into the US Lacrosse National Hall of Fame. Danielle
ranks second all-time on the U.S. scoring list with 64
career points (32 goals, 32 assists)
Additional Staff
Former and current staff includes a variety US National
Team players, top collegiate players, college coaches
from Syracuse University, College of William and Mary,
Notre Dame, Towson University, Cornell University,
George Mason University, Duke University, University
of Vermont, Columbia University, and many more top
collegiate coaches.
Black Diamond Lacrosse
is proud to be sponsored by:
This camp is designed to teach and improve the
technical and tactical skills essential to quality
lacrosse. Through our fun and creative sessions,
campers will be able to develop greater confidence in
their abilities and a true love for the game of lacrosse.
Campers are grouped by age and ability. The camp
staff features some of the best female lacrosse players
and coaches in the country. Participants will need full
equipment, which includes goggles, mouth guard and
stick. Goalies must bring their own equipment.
Application
Please mail Application & Payment to:
PO Box 813 • Plandome, NY 11030
Please make checks payable to: “Black Diamond Lacrosse”
NAME
ADDRESS
CITY/STATE/ZIP
HOME PHONE
High School:
This camp is designed to teach these young women all
facets of the game. Campers are grouped according
to age and ability, which allows the staff to focus on
developing the players’ individual game. The worldrenowned staff will focus on improving the campers’
skills and advancing their understanding of game
concepts and team play. The experience will be both
challenging and fully rewarding for campers, having
had walked away with a broader understanding of the
game and gaining new and improved skills en route to
becoming the best lacrosse player that they can be!
Equipment:
All campers must bring their lacrosse stick and other
equipment, including a mouthguard, goggles, cleats,
and water bottle. Goalies must bring goalie equipment
and stick.
Directions:
Directions to each facility can be found on the
www.bdlax.com website and will be e-mailed along
with payment confirmation.
E-MAIL ADDRESS (REQUIRED)
POSITION:
o ATT. o MID. o DEF. o GOALIE
YEARS OF EXPERIENCE:
1
2
3
4
5
6+
HIGH SCHOOL
GRADE AS OF SEPT 2016:
(CIRCLE ONE)
3 4 5 6 7 8 9 10 11 12
US LACROSSE NUMBER (NOT REQUIRED)
T-SHIRT SIZE (ADULT SIZES):
S
M
L XL
PORT WASHINGTON, NY (JUNE 26 - JUNE 28)
o GRADES 3-8
(5-8 PM).............................................$225
PORT WASHINGTON, NY (JULY 10-13)
o GRADES 3-6
(9AM-12:30PM)..................................$295
PORT WASHINGTON, NY (JULY 10-12)
o GRADES 7-12 (9AM-3PM)....................................... $395
BRECKENRIDGE, CO (AUGUST 1-3)
o GRADES 6-12 (9AM-12:30PM)................................ $245
CAMP CANCELLATION/REFUND INSURANCE
FOR MORE INFORMATION:
(516) 767-7862
o SEE WAIVER & RELEASE FORM................................$55
I am fully aware of and appreciate the risks associated
with participation in a lacrosse event, including the risk
of catastrophic injury, paralysis and even death as well as
other types of damages and loss. I further agree on behalf
of myself, my heirs, and personal representatives that US
Lacrosse, Black Diamond Lacrosse, the host organization
and sponsors of any US Lacrosse event, along with their
coaches, volunteers, employees, agents, officers and
directors of these organizations, shall not be liable for any
injury, loss of life or other loss or damage occurring as a
result of my participation in the Black Diamond Lacrosse
camp. My signature below is my acknowledgement that
I have read and understood every provision of the Waiver
and Release of Liability, and that I agree to abide by it.
PO Box 813
Plandome NY 11030
Waiver
WAIVER&Release
& RELEASE
(parent/guardian, please read)
BLACK DIAMOND
LACROSSE CAMPS
PARENT/GUARDIAN SIGNATURE
CAMPER’S HEALTH INSURANCE COMPANY
POLICY NUMBER
U.S. LACROSSE NUMBER
IN CASE OF EMERGENCY:
EMERGENCY CONTACT NAME
Port Washington, NY
PHONE NUMBER
RELATIONSHIP
Harbor Links Fields
June 26-28 • Grades 3-8
July 10-13 • Grades 3-6
July 10-12 • Grades 7-12
LATE FEES & CANCELLATION:
Camp Cancellation Insurance entitles you to a full cash refund
of all camp fees paid to Black Diamond Lacrosse at the time
of cancellation. *Note: $55 Cancellation Insurance fee is nonrefundable.
• To receive a full Cash Refund, you MUST email Danielle
Gallagher at [email protected] one week prior to your
camp. There will be no exceptions to this deadline.
• Refund checks will be sent out by August 15th, 2017.
Breckenridge, CO
August 1-3 • Grades 6-12
Place
Stamp
Here
Black Diamond Lacrosse Camp General Cancellation Policy:
If you did not purchase the Cancellation Insurance and you
cancel from camp for any reason you will be charged a $75
administration fee. You will receive a Credit Voucher for all
monies paid to Black Diamond Lacrosse Camps less the $75
administration fee. The Credit Voucher is valid towards any Black
Diamond Lacrosse Camp/Clinic Fees through 2017/2018 and
transferable to any family member. All cancellations have to be
made in writing via email to [email protected] prior to your
camp date. Cash Refunds will only be issued with the purchase
of Black Diamond Lacrosse Camps Cancellation Insurance.
Top college programs will be teaching
and coaching at this camp.
FOR MORE INFORMATION:
(516) 767-7862
w w w. b d l a x . c o m