Chenier-Wingfield Basketball Camp with Phil Chenier at Wilde Lake High School--2023
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-Registration: ONLINE AND MAIL-IN REGISTRATION IS CLOSED FOR 2023
Please contact cwhoops1@gmail.com or call 410-960-7308 or 443-864-8660 to see if registration is still possible.  


 Name:  ________________________________________________________

Address:  ______________________________________________________
______________________________________________________________
______________________________________________________________

Parent(s) Name:  ________________________________________________

Phone #:  ______________________________________________________

E-mail:  ________________________________________________________

Birth Date:  ___________________   T-Shirt Size:  _____________________

Prior Experience (if any):  _________________________________________
______________________________________________________________
______________________________________________________________


2023 Summer Sessions

______ July 24th-July 28th $225

______ July 31st-August 4th $225

 
______ Before care 8:00-9:00 $20 per week



Total Amount Enclosed ____________

I hereby register the above child as a participant in the basketball program.  I certify that I am the legal guardian of said child and hold harmless Wilde Lake High School Boosters, Deon Wingfield and Phil Chenier from any and all liability for any injury, illness or condition that may arise as a result of participation in this program.  I also certify that the above child's birth date is accurate as indicated.


Signature of Parent/Guardian ______________________________________________________     Date __________________________________


Please return registration form along with payment to Wilde Lake High School.
                                  Wilde Lake High School
                                  Attn:  Deon Wingfield
                                  5460 Trumpeter Road
                                  Columbia, MD  21044

Make Checks Payable to:  Wilde Lake High School Boosters Club or pay with Zelle (cwhoops1@gmail.com) and CASH IS ALWAYS ACCEPTED!

NO REFUNDS


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