Campers Name:
Parents Name:
Year Round Address:
City:
State:
Zip Code:
Home Phone:
Cell Phone:
E-mail address:
Campers School:
Grade (as of Sept. 21):
Age:

Please select a camp:

Session I July 10th - 14th cost $275
Session II July 17th - 21st cost $275
Session III July 31st - 4th cost $275

Waiver: In consideration of your accepting my entry, I hereby, for myself, my child, my heirs and administrators, waive and release any and all rights and claims for damage I or my child may have against the school and SVG Camps and their representatives, successors, and assigns for all injuries suffered by myself or my child at any activities sponsored by these groups.
I agree to the above terms and conditions

SEND A $50.00 NON-REFUNDABLE DEPOSIT TO:

Stephanie V. Gaitley
OC Basketball Camp
PO Box 306
Ocean City, NJ 08226
Makes checks payable to: Stephanie V. Gaitley

For more information please call (484) 802-7585 or visit www.svgcamps.com