SMITH JUNIOR HIGH
BASKETBALL CAMP
Summer 2008
June 9- June 26
9:00 am - 11:00
WHO:
Girls - grades 6-9
WHERE:
Smith Junior High School Gym
WHAT:
Basketball Skills Camp
WHEN:
____ $75 June 9-26 Monday-Thursday 9:00-11:00 AM
CONTACT:
Scott Jones 480-472-9990
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

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SMITH JUNIOR HIGH GIRLS
SUMMER BASKETBALL CAMP
Account #1328-263
____ $75 June 9-26 Monday-Thursday 9:00-11:00 AM
CONTACT: Scott Jones 480-472-9990
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