Registration Form

2006
Pine Forest Youth / Junior High Cheerleading Camp


 

(Please check which camp you will be attending)

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Individual Registration

Name:	____________________________________________
Address:	____________________________________________
	____________________________________________
City/State/Zip:	____________________________________________
Home Phone:	____________________________________________
E-mail:	____________________________________________

Group Registration               

School or Team Name:		____________________________
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____________________________		____________________________
____________________________		____________________________
____________________________		____________________________
____________________________		____________________________
____________________________		____________________________
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Please Check: Beginner _______ Intermediate ________  Advanced _______

Coaches Information

Name:	_______________________________________________
Address:	_______________________________________________
	_______________________________________________
City/State/Zip:	_______________________________________________
Home Phone #:	_______________________________________________
Email:	_______________________________________________

Contact Person: This is the person to whom all further information should be sent.

Name:	_______________________________________________
Home Address:	_______________________________________________ _______________________________________________
Home Phone #:	_______________________________________________
Email:	_______________________________________________

 

 

 

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Cost - $110.00

Enclosed is $_______ 
This represents a $50.00 deposit per person to reserve your spot. 
This is Non-Refundable or Transferable. 
Balance of $60.00 per camper is due 5 days prior to the start of camp.

NOTE: 
For team or group registration all checks must be sent in one envelope only.
If only one person is attending please fill in the individual registration form.

Please make checks payable to 
J.P. Sports Traditions Inc.
Mail to:
Pine Forest Youth / Junior High Cheer Camp
P.O. Box 11
Olyphant, PA  18447

Print out Participant Release & Medical Waiver Form