| ST. EDWARD H.S. SUMMER CAMP REGISTRATION Name of Camp:_________________________________________________________ Starting Date of Camp:__________________ Cost:___________ Paid:____________ PLAYER’S NAME: ________________________________________________________ AGE: ________ YEAR
IN SCHOOL: _________ (for the fall 2007) ADDRESS: _____________________________________________________________ HOME PHONE #: ________________________________________________________ E-MAIL ADDRESS: ______________________________________________________ MOTHER’S WORK PH. #: ___________________ ALT.# (CELL, PAGER)______________ FATHER’S WORK PH. #: ____________________ALT.# (CELL, PAGER)______________ EMERGENCY NAME AND
PHONE # OF PERSON TO CONTACT IF PARENTS/GUARDIAN HAVE YOU PLAYED BEFORE?
__________ DIRECT ALL INQUIRIES AND CORRESPONDENCE TO:
Please send separate checks and registration forms if attending multiple camps. PARENT OR GUARDIAN
MUST SIGN THE FOLLOWING STATEMENT: DATE: _______________
SIGNED: ________________________________________ Late registration will be accepted at each summer camp location. |
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