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INDICATE PREFERRED WEEK OF CAMP: __ July 11-15,1999 for ages 8-15 located at Graves' Mountain Lodge $375.00 __July 25-29, 1999 for ages 10-17 located at the University of Virginia $365.00 NAME___________________________________________________________________ MAILING ADDRESS_____________________________________________________________________ CITY______________________________________State______________________Zip Code____________ PARIENT/GUARDIAN__________________________________________________________________ AGE______________DATE OF BIRTH_______GRADE ENTERING FALL OF'99_______SCHOOL___________________________ HOME PHONE________________________________ROOMMATE REQUEST (Limit One Name)____________________________ BUS.PHONE_________________________________ MAKE CHECK PAYABLE TO PETE GILLEN'S BASKETBALL CAMP Full camp tuition is due with your application.
MAIL TO: Pete Gillen's Basketball Camp, Inc. |
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