Gilmour Summer Camps


Gilmour Basketball Camp Registration: 16991

* First Name:
* Last Name:
* Sex:	Male Female
* Street:
* City:
* State:
* Zipcode:
* Birthday:	Month (01-12): Day (01-31): Year (ccyy):
* School Attended:
* Grade (Fall 2010):
* Mother's Name:
Mother's Phone:	* Home: Cell: Business:
* Father's Name:
Father's Phone:	* Home: Cell: Business:
* Email:
If possible, group my child with:
* Shirt Size:	S(6-8) M(10-12) L(14-16) XL(18-20)
Transportation:	$75.00 per family per week
Before & After Camp Care June 14 - July 30:	None 7:15-8:30 AM 4:00-6:00 PM Both - $5.00 per hour
Additional Comments:
*	Check Desired Camp(s)
*	Required Field

Basketball - Director: David Pfundstein, 440-684-4569, pfundsteind@gilmour.org

	June 14, 2010 - June 18, 2010	8:30 AM to 11:30 AM	Boys	Grade: 6 - 8	$135
	June 14, 2010 - June 18, 2010	1:00 PM to 4:00 PM	Boys	Grade: 3 - 5	$135
	June 21, 2010 - June 25, 2010	8:30 AM to 11:30 AM	Boys	Grade: 6 - 8	$135
	June 21, 2010 - June 25, 2010	1:00 PM to 4:00 PM	Girls	Grade: 3 - 5	$135
	July 12, 2010 - July 16, 2010	8:30 AM to 11:30 AM	Boys & Girls	Grades: K - 2	$135
	July 12, 2010 - July 16, 2010	1:00 PM to 4:00 PM	Girls	Grade: 6 - 8	$135