ALL NET BASKETBALL CAMP

Director Ralph Amitrano

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                            Please print and mail registration form....Thank You !
 
Camper Name_________________________
Address______________________________
_____________________________________
Phone Home __________________________
Cell Phone____________________________
AGE_________________________________
Grade in September____________________
E-Mail Address________________________
Emergency Contact numbers ____________
                                               ____________
CAMP Tuition is $195.00 payable by check and mailed to :
All Net Basketball Camp
71 W.Henrietta Avenue
Oceanside N.Y. 11572

I am aware of my childs health and have had physicians approval to participate in basketball camp. Any special accomodations,allergies or restrictions should be listed below.
_____________________________________________________________________________________________________________________________________________________________________________________________________________________
_______________________________________________________________________
Parent Signature___________________________Date__________________________
  
 
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