Directed by Wojtek Pietrowski
Online Registration Form
Ages 6-14
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Last Name:
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Zip:
Date of Birth:
(mm/dd/yy)
Home Phone:
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Emergency Contact
Name:
Emergency Contact Cell Phone:
9-10am
10-11am
Session 1:
June 15-19
Session 2:
June 22-26
Session 3:
June 29-July 3
Session 4:
July 6-10
Session 5:
July 13-17
Session 6:
July 20-24
Session 7:
July 27-Aug 1
Session 8:
Aug 3-7
Session 9:
Aug 10-14
Camp fee:
Only $35.00
(please make check payable to:
Wojtek Pietrowski
)
Paid by:
Check
Cash
Total Amount:
$
MEMO:
Wojtek Pietrowski
Los Caballeros Racquet and Sports Club
PO Box 9913
Fountain Valley, CA 92708
Phone: 714/801-9506