Interested in attending either our
Beginner Basketball Program or Beyond the Basics Program starting
at the end of September? Well here's the place to get an application
to fill out and send the old fashioned way to the SHOTMAN. This is
the section where the application for registration to either the SHOTMAN
September 2008 Beginner Basketball Program, or the Beyond the Basics
Program, which are both being held at the Grand Slam on 910 Oak Tree
Avenue in South Plainfield, New Jersey. Follow the directions
below.
Directions
1. Read the contents of the page carefully before printing.
2. Print this page out.
3. Carefully Print your information in the appropriate spaces of the form.
4. Read the disclaimer.
5. Have your parent sign the form.
6. Check off the appropriate T-Shirt size.
7. Mail this form with your check to the following:
Mike Lanza
1909 South Central Ave.
South Plainfield, NJ 07080
Phone: (908)-754-2692
Cell Phone: (908)-917-8385
Application
Name:
Age:
Grade In Sept.:
Height:
Weight:
Insurance Carrier:
Policy #:
Mailing Address:
City:
State:
Zip Code:
Parent's Name:
Home Phone:
Business Phone:
Please
Check One of the Followiing Below:
Beginner Basketball Program 6-8 yr olds $99.99
Beyond the Basics Program 9-12 yr olds $99.99
Important: Please Read
Disclaimer: I hereby request that my child named above be admitted to the SHOTMAN Basketball Camp and authorize the directors to act according to their best judgment in any emergency requiring medical attention other than that maintained by the camp, from which services I shall pay for. I recognize that this is an active sports program. I further release all SHOTMAN personnel from responsibility.
Full Tuition Required: $99.99
due by September 28, 2008
No Refunds
Signature of Parent:
T-Shirt Size (Adult Sizes Only) Medium (M) Large (L) Extra Large (XL)
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