| 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. |
| Session 1: 11/16/11 to 12/23/11 - 5 Weeks - Deadline November 13, 2011 |
| Session 2: 1/3/12 to 3/11/12 - 10 Weeks - Deadline December 18, 2011 |
| Session 3: 3/14/12 to 5/16/12 - 10 Weeks - Academy Training Only! |
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| Recreation League: |
Session 1
Session 2
Volunteer Recreation Coach
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| Session 1 Cost - $75.00 |
| Session 2 Cost - $150.00 |
| Recreation League 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 / Cost $100.00 |
| Session 2 Tuesday Nights / Cost $200.00 |
| Session 3 Wednesday Nights / Cost $200.00 - 10 Weeks -
Begins 3/14/12 and ends on 5/16/12 |
| Academy Training open to boys and girls ages 5 to 14 years old |
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Spring Break
Camp Week 1 |
April 2-5, 2012 Full-Day
/ Half-Day |
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Spring Break
Camp Week 2 |
April 9-12, 2012 Full-Day
/ Half-Day |
| Monday to Thursday - Full Day - 9:00 am to 3:00 pm / Cost: $250.00 |
| Monday to Thursday - Half Day - 9:00 am to 12:30 pm / Cost: $175.00 |
| Lunch included for full-day campers |
| Before and Aftercare Available at $10 per hour |
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Summer Camps - Beginner, Recreation,
and Travel Players:
Please select one or more weeks below: |
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| July
23 - 27, 2012 at YMCA Sawmill - must apply at YMCA |
| July 23 - 27, 2012 at Robbinsville Fieldhouse - Full Day / Half Day |
| August 6 - 10, 2012 at Robbinsville Fieldhouse - Full Day / Half Day |
| August 20 - 24, 2012 at Robbinsville Fieldhouse - Full Day / Half Day |
| August 20 - 24, 2012 at YMCA Sawmill - must apply at
YMCA |
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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 |
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| Comments, Notes and/or Special Requests: |
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