Basketball Camp Registration Form

Grades

First Name

$100.00

Session I

(4-5-6th)

Shooting Camp

6/16 - 6/19

9:00-11:00am

Last Name

$100.00

Session II

(7-8-9th)

Shooting Camp

6/16 - 6/19

11:00am -1:00pm

Address

$130.00

Session III

(4-5-6th)

Fundamental Camp

6/23 - 6/26

9:00 - Noon

City

$130.00

Session IV

(7-8-9th)

Offensive Skills Camp

6/30 - 7/3

9:00 - Noon

State

$130.00

Session V

(7-8-9th)

Accelerated Skills

7/14 - 7/17

9:00 - Noon

Zip Code

Phone Number

Grade (As of 9/07)

School

Make Checks Payable to: Marty Gaughan

Mail payment and registration form to: Benet Academy c/o Marty Gaughan
2200 Maple Avenue Lisle, IL. 60532

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