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residents business visitors terms

    2007 Instructional Girlsī Basketball Camps
    For Girls Only, 9 to 12 years of age.

    June 25 to June 29
    9:00 A.M. to 2:00 P.M.
    Lonnie Young R.C., 1100 Chelten Ave., 19138, 215-685-2236
    Coach Lisa Ruffin, St Martin De Porres

JardelR.C., Cottman & Pennway, 19111, 215-685-0596
Coach Frank Greco of Central H.S.

Registration fee is $25.00 Money Orders only made payable to  the Camp Site selected

MAIL CAMPER REGISTRATION FORM AND MONEY ORDER TO:
2007 Girls Instructional Camps
Philadelphia Department of Recreation
Sports & Athletics
1515 Arch St. Rm. 10-151
Phila.  Pa. 19102-1587

For more information or additional applications contact Ed Livingston at (215) 683-3674

Note: Sessions with insufficient registration will be cancelled.

-----------------------------------------------------------------------------------------------  Campers' Information
 

Campers Name:_________________________________Age as of June 25:______


Date of Birth:___/__/__
  


Shirt Size: Med. __Lg.__X-Lg.__-Circle One       (Females only)


Parent or Guardian:___________________________Phone Number: (____)_______


Address:_____________________________Second Phone Number: (____)_______


City:__________________State:________Zip Code:____________


Emergency Contact:___________________________Phone Number: (____)_______


Session(s) Requested: ___________________________________ (list site and dates)
First Choice


Alternate Request:______________________________________(list site and dates)
Second Choice


Enclose $25.00 money order for full session or $15.00 money order for short sessions,  payable to camp site selected (Lonnie Young or Jardel)  to complete registration.

Camp hours are Mon. to Fri. 9:00am to 2:00pm. There is no "after care', so arrange accordingly.