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from 2009:

Session 1

Session 2

Session 3

Long Island’s Finest Shooting Day Camp

Registration Form

This registration must be followed by a $100 non-refundable, non-transferable check for each session within 7 days. Otherwise the registration will not be considered valid.

Please mail to: BRUNS CAMP—16 E. POPLAR ST. — FLORAL PARK, NY 11001

Phone: 516-328-9060 Fax: 516-352-0938

(For office use only—Camper #)

Choose your session(s):

Price each

$295.00

*Total:

Camper Name:

Address:

Phone

(Home and Cell)

E-mail:

Shirt Size

School

Youth

Adult

Attended Before

Recommended by:

I hereby authorize the BRUNS BASKETBALL CAMP to act for me according to their best judgment in any emergency requiring medical attention.

I recognize that my typed name below acts as my signature.

Name

Date

BRUNS BIG APPLE BASKETBALL CAMP

Grade in Sept. 2010

$250.00

*SUBTRACT $20 PER SESSION

FOR TWO OR MORE SESSIONS!

For Office Use Only

Deposit

Balance

Medical Form

Session 1: June 28—July 1 4 Days

Session 3: July 26—30 5 Days