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Liberty Track Summer Camp 2013(Brochure)

Liberty Track Summer Camp 2013(Brochure)

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Published by Fauquier Now
Camp runs from July 8-12.
Camp runs from July 8-12.

More info:

Published by: Fauquier Now on Jun 14, 2013
Copyright:Attribution Non-commercial

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03/06/2014

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Please COMPLETELY fill out this form andreturn it to LHS by June 21st, 2013 with payment of $60. Late registration cost is $70.Checks made payable: Liberty CC Atten: Doron WhiteLiberty High School6300 Independence Ave.Bealeton, VA 22712
 
Campers Name(Print)
 
Sex (circle)
 
Parent/Legal GuardianStreet AddressCity/State/Zip CodeE-mail AddressDaytime Phone Evening PhoneCurrent School (2012-2013) Grade FinishedEmergency Contact Phone
6300 Independence Ave.Bealeton, VA 22712libertyxctf@gmail.com
Camp Registration
Track &FieldSummerCamp2013
Liberty High SchoolCC/T&F Presents:
 July 8-126:00-8:00pm
Medical Waiver
I recognize the possibility of physical injury associated withthis summer camp. I understand that the Liberty Staff and/orany-one associated with the track & field camp will not assumeresponsibility for any loss, liability, damage, medical or dentalcost or any other expenses incurred as a result of any injuryand/or property damage that the above named camper maycause or sustain while participating in this summer camp.
 

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