| First Name: |
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| Last Name: |
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| Age: |
Not for adult
league registration - see above note
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| Gender: |
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| Parent Name(s): |
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| Address: |
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| City: |
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| State |
Zip:
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| Phone Number: |
( )
-
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| Cell Number: |
( )
-
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| E-Mail Address: |
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| Please Note: Provide a valid email address, this is our way
of contacting and communicating with everyone! |
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| Program Selection(s): Please check all appropriate
boxes. |
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| Recreation League: |
Session 1
Session 2
Volunteer Recreation Coach
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Session 1 - 12/1/12 to 12/29/12 - 5 Weeks -
Cost $75.00
Registration Deadline November 25,
2012 |
|
Session 2 - 1/2/13 to 3/9/13 - 10 Weeks -
Cost $150.00
Registration Deadline December 21,
2012 |
| Recreation League is open to boys and
girls ages 5 to 11 years old! |
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Academy Training: |
Session 1
Session 2
Session 3
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Session 1 Wednesday
Nights 11/14/12 to 12/19/12 - Cost $100.00
Registration Deadline November 7,
2012 |
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Session 2
Wednesday Nights 1/2/13 to 3/6/13 - Cost $200.00
Registration Deadline December 21,
2012 |
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Session 3 Friday Nights 3/22/13 to 5/10/13
- Cost $160.00
Registration Deadline March 17,
2013 |
| Academy Training is open to boys and girls
ages 5 to 14 years old! |
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Summer Camps - Beginner, Recreation,
and Travel Players:
Please select one or more weeks below: |
| Camps are open to boys and girls ages
5 to 14 years old! |
| July
22 - 26, 2013 at YMCA Sawmill - must apply at YMCA
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| July 22 - 26, 2013 at Robbinsville Fieldhouse - Full Day / Half Day |
| August 5 - 9, 2013 at Robbinsville Fieldhouse - Full Day / Half Day |
| August 19 - 23, 2013 at Robbinsville Fieldhouse - Full Day / Half Day |
| August 19 - 23, 2013 at YMCA Sawmill - must apply at
YMCA |
|
Full Day - 9:00 am to 3:00 pm / Cost: $300.00
Half Day - 9:00 am to 12:00 pm / Cost: $200.00 |
| Lunch included for full-day campers |
| Before and aftercare available at $10.00 per hour |
| $25 OFF if registered and
payment received by March 15, 2013 |
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| Comments, Notes and/or Special Requests: |
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