Player Name *

First Name

Last Name

Parent Name *

Put N/A for players 18 plus

First Name

Last Name

Check The Weeks That Work *

Week 1 (July 1st)

Week 2 (July 8th)

Week 3 (July 15th)

Week 4 (July 22th)

Week 5 (July 29th)

Week 6 (Aug. 5th)

Week 7 (Aug. 12th)

Week 8 (Aug. 19th)

week 9 (Aug. 26th)

If You prefer a Clinic (Shorter time of 2-3hours not a full 6 hour Camp) What time is best

Check any that work

Morning

Afternoon

Early Evening

Evening

Players Name *

First Name

Last Name

Parents Name *

First Name

Last Name

Check The Break That works *

Private school Break

Public School Break

Passover Friday

If You prefer a Clinic (Shorter time of 2-3hours not a full 6 hour Camp) What time is best

Check any that work

Morning

Afternoon

Early Evening

Evening