Summer Strength And Conditioning Application - Cheshire Parks Form
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2Cheshire Parks & Rec
2016 Cheshire Park & Rec
Summer Strength & Conditioning
Strength & Conditioning
APPLICATION
Camp 2016
Name ______________________________
Address ____________________________
City _____________________ State______
Phone: H ___________________________
C ___________________________
For all incoming 7
– 9
graders
th
th
Date of Birth _____ / ______ / ______
June 20 – August 11 (8 wks no July 4th)
Incoming Grade _________
Monday-Thursday
In case of emerceny call:
Grade 7 & 8: 7-8 AM
Grade 9: 8-9 AM
Name ______________________________
Phone _____________________________
Camp Director: Thomas Tuscano
Email ______________________________
Assistant Director: Frank Jawidzik
Circle One:
Sponsored by Cheshire Parks & Rec
Code: 43400A Incoming 7
or 8
graders
th
th
203-272-2743
Code: 43400B Incoming 9
graders
th
T-shirt size (circle one): M L XL XXL XXXL
Cost is $165 ($175 out of town) per athlete.
Code: 43400A Incoming 7
or 8
graders
th
th
Make checks payable to:
Code: 43400B Incoming 9
graders
th
Thomas Tuscano
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