WHO: |
Shepherd Junior High Students |
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WHERE: |
Shepherd Junior High |
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WHAT: |
Shepherd Speed Camp |
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WHEN: |
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CONTACT: |
Mike Khalil @ 472-1934 |
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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: PAY ONLINE CLICK HERE: www.mpsaz.org/pay click on Sports Camps |
| $30.00 | May 13 - July 31 | Tues. and Thursday 5:00-6:30 PM |
Contact Mike Khalil @ 472-1934
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: |
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Amt. Paid : __________ |
Credit Card: ______Visa ______Mastercard __________________________________ |
Exp. Date:: __________ |
3 Digit Code: __________ |
Mail to: Mesa Public Schools - Accounting CE, 63 East Main #101, Mesa, Az. 85201