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Liberty Sports Camp Registration Form

Liberty Sports Camp Registration Form

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Published by Fauquier Now
Registration form for Liberty High School's summer athletic camps.
Registration form for Liberty High School's summer athletic camps.

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Published by: Fauquier Now on May 20, 2013
Copyright:Attribution Non-commercial

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07/10/2013

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Liberty Sports Camp Registration Form

Please check camp you will attend: ❑ Soccer Camp (June 17-20) ❑ Co-ed Basketball Camp (June 24-27) ❑ Co-ed Basketball Advanced Camp (July 8-11) ❑ Track Camp (July 8-11) ❑ Cheerleading Camp (July 17-19) ❑ Football Camp (July 17-19)

You can pre-register by mailing registration form to Liberty High School 6300 Independence Avenue Bealeton, VA 22712 Attn: (the name of your contact) Basketball: Pat Frazer Football: Sean Finnerty Track: Doron White Soccer: Greg McLeod Cheerleading: Joanne Munson If you are signing up for multiple camps, please put Attn: Finance Office Please make checks payable to: Liberty High School Shirt size: Youth __ s ___ m ____l Adult ____s ___m ______l _____xl ______xxl Player’s name __________________________ Age ______ School attended ___________

Address ______________________________________________________________________________ E-Mail _________________________________________________ Phone _____________ I, (parent/Guardian) _________________________________, certify that my child is in good physical condition and is fit to participate in Liberty High School basketball camps and suffers from no physical impairment that might be aggravated by said participation. I certify that my child is covered by medical insurance and that I will not hold Liberty High School or its trainers responsible for any injuries to my child, which occurs during participation. Signed _____________________________________________Date ______________

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