Campers Name:
Parents Name:
Year Round Address:
City:
State:
Zip Code:
Home Phone:
Cell Phone:
E-mail address:
Campers School:
Grade (as of Sept. 25):
Age:

Please select a camp:

Session I July 7th - 11th cost $300
Session II July 14th - 18th cost $300
Session III July 28th - 1st cost $300

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 $75.00 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