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PLEASE EMAIL INFO@TIMLEGLERBASKETBALLCAMP.COM TO REGISTER.

  Please complete and mail form below.  Payments are due with application.

***If you prefer to pay by PAYPAL, Please mail in completed form and email us at payments@timleglerbasketballcamp.com***

Make checks payable to:  "Tim Legler Basketball Camp"

Mailing address:  2 Creek Lane Mullica Hill NJ 08062

*Cancellation Policy- $50 fee applies per camper for all cancellations after June 15th. 

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Camper Name_____________________________Gender___ Grade _______
Age as of Camp Date_________________

Please Check:
SESSION I:      ___Ages 8-9; 13-16 (8:30am-12:30pm)
SESSION II:     _SORRY THIS SESSION IS SOLD OUT__Ages 10-12 (1-5pm)

School_______________________________________ Birthday__________

Street Address____________________  City_______________ Zip________

Home Number________________  Cell Number________________________

Parent/Guardian Name and Emergency Phone Number__________________

Email address____________________________________________________

Best way to be contacted (circle):       Home      Cell        Email

Shirt Size (circle):  Youth Med, Youth L, (Adult) S M L XL 2XL (NO EXCHANGES FOR SHIRTS, WHEN IN DOUBT GO UP ONE SIZE)

How did you hear about us?   school__newspaper__radio__referral__email__

                                        flyer___attended camp in past____other________

I hereby authorize the staff of the Tim Legler Basketball Camp to act in their best judgment in case of an emergency requiring medical attention, and hereby waive the Tim Legler Basketball Camp, Tim Legler, and GCIT of any and all liability for injuries or illness incurred as a result of the participation in the camp.  I understand that I am required to obtain and carry accident insurance coverage for my child listed on this application.  I also understand that the camp retains the right to use, for publicity and advertising purposes, photographs of campers taken at the clinic.

Parent/Guardian Signature:_________________________ Date:__________



 
     
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