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ODYSSEY SPORTS

2003 SUMMER CAMP REGISTRATION FORM

 

 

Name              

Street Address

City, State, Zip

Age

Date of Birth    

School District 

Emergency Contact Number 

 

 

Shirt Size:  Please circle one of the following:

 

Youth M       Youth L        Adult S        Adult M       Adult L        Adult XL

 

 

Camp Choice:  Please circle camp(s) for which you are registering

 

Variety                  Soccer                   Softball                Baseball

Volleyball              Basketball            Bowling

Golf             Volleyball workout

 

 

I, the undersigned, hereby submit that my son/daughter is physically fit and I waive and release any claims if he/she is injured at a camp hosted by Odyssey Sports.

 

 

Please Send Check Payable To:

Frank Stackiewicz

887 Blue Ridge Road

Pittsburgh, Pa 15239

 
Parent/Guardian Signature                                                                                 Date