WHO:
Rhodes Junior High boys and girls
WHERE:
Rhodes Junior High School Gym
WHAT:
Basketball participation and skill development
WHEN:
_____ $40 Girls grades 7-9 July 14-18 8:30-10:00
_____ $40 Boys grades 7-9 July 14-18 10:30-12:00
CONTACT:
Coach Cryder 472-2387
SIGN UP:
Complete the registration form below and mail with check, money order or credit card information to the address at the bottom of the page or TO PAY ONLINE, CLICK HERE: www.mpsaz.org/pay - Click on Sports Camps

-------------------------------Cut here and return or pay online---------------------------------

_____ $40 Girls grades 7-9 July 14-18 8:30-10:00
_____ $40 Boys grades 7-9 July 14-18 10:30-12:00
Coach Cryder 472-2387 ---- Account # 257-1303
TO PAY ONLINE CLICK HERE: www.mpsaz.org/pay
Then click on sports camps.
I give permission for my child to participate in the camp listed. I understand all risks and hazards
incidental to participation and do hereby waive, release, absolve, indemnify and hold harmless
Mesa Public Schools and the school from any claim arising out of any injury to my child.
Student
Name:
.
(H) Phone:
Parent/
Guardian:
.
(W) Phone:
Address:
City:
Zip:
Amt. Paid :

__________
Credit Card: ______Visa ______Mastercard

__________________________________
Exp. Date::

__________
3 Digit Code:

__________
Checks must be made payable to : Mesa Public Schools.
Mail to: Mesa Public Schools - Accounting CE, 63 East Main #101, Mesa, Az. 85201