Taylor Basketball Camp
June 2 - July 17, 2008
Monday thru Thursday 1:00-3:00 PM
$100
WHO:
Taylor 7th and 8th grade boys
WHERE:
Taylor Junior High School Gym
WHAT:
Basketball skill development, physical conditioning and strength training.
WHEN:
_____ $100 Monday - Thursday 1:00-3:00
COST:
$100 for the entire session
CONTACT:
Steve Stine @ 472-1526 or Joe Ward @ 209-5133
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

---------------------Cut and return with payment or pay on-line------------------------
_____ $100 Monday - Thursday 1:00-3:00
Taylor Basketball Camp
June 2 - July 17, 2008
Monday thru Thursday 1:00-3:00 PM
$100 - Act. # 1301 - 258
Contact Steve Stine @ 472-1526 or Joe Ward @ 209-5133
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