Summer Strength & Conditioning Application - Cheshire Parks Form

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Cheshire Parks & Rec
2016 Cheshire Park & Rec
Cheshire Parks & Rec
Summer Strength & Conditioning
Summer Strength and Conditioning
Strength & Conditioning
APPLICATION
C/O Cheshire Parks & Rec
Camp 2016
Name ______________________________
559 S. Main St
Address ____________________________
Cheshire, CT 06410
City _____________________ State_____
Grade: Incoming 10
– 12
graders
th
th
Phone: H ___________________________
Date: June 20 – August 11
C ___________________________
Date of Birth _____ / ______ / ______
Monday-Thursday
8:30-10:30a.m.
Incoming Grade _________
In case of emergency call:
Camp Director: ISAIAH BODDIE
Name ______________________________
Sponsored by Cheshire Parks & Rec
Phone _____________________________
203-272-2743
Email ______________________________
Cost is $120 ($130 out of town) per athlete.
Make checks payable to:
Code: 43499 A Incoming 10
– 12
graders
th
th
Isaiah Boddie

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