| $85.00 |
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| Brandon H.S. |
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| Basketball Camp |
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Registration
Form |
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Summer
Camp Dates:
(PLEASE CHECK ONE) |
[
] JUNE 16 - JUNE 20
[
] JULY 7 - JULY 11
[ ] JULY 14- JULY 18
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| Name________________________________________School____________________ |
| Age____________ Grade____________ |
| Address___________________________
City_________ State_______ Zip___________ |
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| Home
Phone (____)_________________ Parent Work Phone (____)_________________
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| T-Shirt Size__________________ |
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| [ ] |
Morning Session - Ages 9-12 (8:00AM to Noon) |
| [ ] |
Afternoon Session - Ages 13-16 (1:00 to 5:00) |
| *** |
Brandon H.S. basketball players will be in attendance throughout the week to work with all the campers. |
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OPEN TO: BOYS AND GIRLS
| Make
checks payable to: |
| Brandon
Boys Basketball |
| Mail
to : |
| Coach
Mark Hermann |
| Brandon
High School |
| 1101
Victoria Street |
| Brandon
Fl. 33510 |
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| Any
Questions- Call Mark Hermann at (813) 744-8120 ext. 287 |
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| ***
YOU MUST RSVP TO HOLD A SPOT FOR THE CAMP |
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*** ALL CAMPS ARE LIMITED TO 40 PARTICIPANTS PER SESSION |
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| We
hereby give full permission for our child to participate in Brandon H.S.
basketball day camp. We hereby release the county of any and all liabilities
and assume full responsibility in case of accident or injury
before, during, and after any games and/or practice sessions. |
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| _______________________________ |
| parent
or legal guardian |
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