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Summer Camp Registration Form
You can use this form to resigter for our summer camp. If enrolling multiple campers, please add their names and birthdays in the Comments/Questions field below.
Coach Reiner will contact you by phone to confirm your registration. If perferable, you may also register via phone by calling 305 380-9332.
Student:

Date of Birth:
  
Level of Play:
Parent/Guardian:

Home Phone:

Business Phone:

E-Mail:

Address:

Apt/Suite:

City:

State/Zip:
  

Weeks Enrolling: (check all that apply)
WK1 WK2 WK3 WK4 WK5
WK6 WK7 WK8 WK9 WK10

Comments/Questions:






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