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éarlisle Indian Boys Basketball Camp What: Basketball Camp for boys entering Grades 3° — 8" Where: Carlisle H.S. Gymnasium When: June 22nd - 24th/ 12:00 noon -- 3:00 pm Cost: $25.00 per camper The camp will be under the direction of the Carlisle boys’ basketball varsity coaching staff. The camp will include the teaching of basketball fundamentals, along with team play, games, and contests. Each camper will receive a basketball camp T-shirt. Please contact Head Coach Jeff Waugh at 937-746-4481 with any questions. To register for the Carlisle Indian Boys Basketball Camp simply cut and complete the registration form below and return. Registration Form Camper's Name Address ‘Age Grade (2009/10) Parent Name & Phone Number Emergency Phone Number Relationship to Parent/Camper Please make camp fee payable to Carlisle Athletic Boosters. All completed applications should be sent to: Jeff Waugh Carlisle HS 250 Jamaica Rd. Carlisle, Ohio 45005 (PLEASE CIRCLE ONE) — Campers registered by June 1" will be guaranteed their camp shirt size Youth sizes Adult sizes YM YL Ss M L XL has my permission to attend the Carlisle Indian Boys Basketball Camp. T understand that there is a risk of injury and agree not to hold the staff coaches responsible for any injuries that may result. (Parent! Guardian Signature)

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