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 11/12 School/Grade Level Comments Session	LIONS BASKETBALL CAMP SUMMER SESSION 2011 JUNE 20-24 9-4PM  JUNE 27-JULY 1 9-4PM Before/After care ($25.00 extra) $100.00/$175.00 both sessions Team discount available (7 or more/$600) LARGO HIGH SCHOOL 505 LARGO ROAD LARGO, MD call Coach Ward 202-285-9085 or Coach Gadson 347-639-9856 email: coach@lionsbasketball.net for more info

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