Registration: CAMP IS FULL FOR 2022...please email cwhoops1@gmail.com if you have any questions
Name: ________________________________________________________
Address: ______________________________________________________
______________________________________________________________
______________________________________________________________
Parent(s) Name: ________________________________________________
Phone #: ______________________________________________________
E-mail: ________________________________________________________
Birth Date: ___________________ T-Shirt Size: _____________________
Prior Experience (if any): _________________________________________
______________________________________________________________
______________________________________________________________
2022 Summer Sessions
______ July 25th-July 29th $225
______ August 1st-August 5th $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
Address: ______________________________________________________
______________________________________________________________
______________________________________________________________
Parent(s) Name: ________________________________________________
Phone #: ______________________________________________________
E-mail: ________________________________________________________
Birth Date: ___________________ T-Shirt Size: _____________________
Prior Experience (if any): _________________________________________
______________________________________________________________
______________________________________________________________
2022 Summer Sessions
______ July 25th-July 29th $225
______ August 1st-August 5th $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
