PROVIDENCE CATHOLIC WRESTLING 2017 SUMMER CAMP
WRESTLING CAMP $95.00 4-Day Fundamental Camp 1st –9th Grade JULY 26-29, 2017 9. A.M.—NOON All campers receive a T-shirt, Water Bottle & PCHS Athletic Pass
CUT & MAIL BOTTOM PORTION TO PROVIDENCE CATHOLIC H.S. : 1800 W. Lincoln Hwy. New Lenox, IL 60451 Check Payable to Keith Healy
Questions?
[email protected] (815) 717-3156
Shirt Size: Adult Size S M L XL circle one or Youth: XL School_____________________________ Home Address_______________________________________________ City Zip Parent/Guardian Name__________________________Cell/Home Phone____________________ Emergency Contact Name:_______________________Phone______________________________ EMAIL____________________________________________________________________________ Amount Enclosed:_________________Make Check payable to
Keith Healy
Parent Signature *________________________________________________________________ NOTE: All registration forms must have a parent/guardian signature. Providence Catholic H.S. reserves the right to photograph
Circle