DATE: TIME: CONTACT:
LOCATION: COST:
July 17TH – August 10TH (Monday/ Wednesday/ Thursday) 12:00pm – 3:00pm John Morgan (Head Wrestling Coach) 714-716-9736
[email protected] H.B.H.S. WRESTLING ROOM $170 (Register before March 30TH) $200 (Register March 30TH- June 30TH)
***Please make checks payable to Huntington Beach High School ASB*** PLEASE TEAR OFF THE BOTTOM PORTION AND RETURN THE FIRST WEEK OF CAMP
********************************************************************************** Please complete this form and return the signed forms (including the Summer Camp Emergency Card ) and payment by June 30, 2017: Payment Included:
CASH
CHECK
DATE: ________________
Student Information: Student Name: ___________________________________
Grade level: ___________
Address: _____________________________________________________________________ Phone Number: _______________________________________________________________ Email: _______________________________________________________________________
Parent/ Guardian(s) Information: Name(s): ____________________________________________________________________ Address: _____________________________________________________________________ Phone Number(s): _____________________________ / _____________________________ Email(s): ____________________________________________________________________ Signature: ____________________________________________________________________