Basketball Camp Application Name of Camper Age Date of Birth Sex Before Care/After Care Yes%0ANo%0A Parent/Guardian Name Address Home Phone/Bus. phone email address: Emergency Contact Emergency Contact Number 12/13 School/Grade Level Comments Session	LIONS BASKETBALL CAMP SUMMER SESSION 2012 JUNE 11-15 9-4PM   JUNE 18-22 9-4PM  Before/After care ($25.00 extra) $100.00/$175.00 both sessions (Must register by June 1st) Team discount available  Make checks payable to: Lions Basketball Camp LARGO HIGH SCHOOL  505 LARGO ROAD  LARGO, MD 20774    call Coach Ward 202-285-9085 or Coach Gadson 347-639-9856 email: coach@lionsbasketball.net for more info

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