Chenier-Wingfield Basketball Camp With former NBA All-Star Phil Chenier
Free Skill Development Clinic For Boys and Girls Ages 8 and up
Registration Form (print out form, fill out and mail to the address listed below) Name: ______________________________________________________________________ Address:_____________________________________________________________________
______ Saturday June 9th @ Wilde Lake High School from 9:00 am -12:00 pm
I hereby register the above child as a participant in the basketball clinic. I certify that I am the legal guardian of said child and hold harmless Wilde Lake High School Boosters 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 to Wilde Lake High School
Wilde Lake High School Attn: Deon Wingfield 5460 Trumpeter Road Columbia, MD 21044
For further information, contact: Coach Deon Wingfield 410-960-7308 or Coach Phil Chenier 443-964-8660 WLHSBasketball@gmail.com
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