| John Swickrath's Basketball Camps 2010 Camp Registration |
| To Register: Print out this page, fill it out, and send it in with either the $125 full payment or a $50 deposit* in which you can pay the remaining $75 at the door. (Make checks payable to (John Swickrath). Check the box or boxes next to which week(s) you will be attending. If you plan on coming to multiple weeks of camp please feel free to call or email us about camp discounts. If you have multiple children attending call or email for a discount. 2010 Summer Camp Dates: □ June 14 - 18 @ Timberlake Christian School □ July 19 - 23 @ Timberlake Christian School □ July 26 - 30 @ Timberlake Christian School Name(s) ______________________________________ Address ______________________________________ City______________________ST____Zip___________ Email ________________________________________ Parent/Guardian _______________________________ Phone (day) ________________ (eve) _____________ School ______________________________________ Age(s) ____________________________ Sex: ( M / F ) Youth Medium to Adult T-Shirt Size (circle): YM YL S M L XL XXL Mail to: John Swickrath's Basketball Camps 4508 Stony River Cove Owensboro, KY 42303 For More Information: Call: 270-231-2777 or Email: johnswickrath@yahoo.com * = $75 deposit is non-refundable |
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